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1194789834
ANTHONY TAN SETIAWAN
DALLAS, TX
NPI
1194789834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX F2917)
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
-- ANTHONY TAN SETIAWAN MD
5323 HARRY HINES BLVD
DALLAS, TX 75390-7208
Phone number: 214-645-0624
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Mailing Address
-- ANTHONY TAN SETIAWAN MD
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-0624
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