NPI | 1104519628 |
---|---|
Doing Business As | JEFFREY TJAN DDS PLLC |
Entity Type | Organization |
Authorized Contact | JEFFREY TJAN Dentist 317-652-7947 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-05-31 |
Last Update Date | 2023-05-31 |