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1194921072
SAM TUN TAN
SAN LEANDRO, CA
NPI
1194921072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 47570)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Dr. SAM TUN TAN D.M.D.
425 ESTUDILLO AVE SUITE C
SAN LEANDRO, CA 94577-4961
Phone number: 510-483-1543
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Mailing Address
Dr. SAM TUN TAN D.M.D.
425 ESTUDILLO AVE SUITE C
SAN LEANDRO, CA 94577-4961
Phone number: 510-483-1543
Copy
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