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1134523103
TINA S. TAN
MT PROSPECT, IL
NPI
1134523103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-020060)
Enumeration Date
2014-10-20
Last Update Date
2014-10-20
Business Address
Mrs. TINA S. TAN DM.D
214 S EMERSON ST
MT PROSPECT, IL 60056-3247
Phone number: 847-577-7500
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Mailing Address
Mrs. TINA S. TAN DM.D
214 S EMERSON ST
MT PROSPECT, IL 60056-3247
Phone number: 847-577-7500
Copy
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