JUSTIN TAN

LONGVIEW, WA
NPI1235536475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60502542)
Enumeration Date2014-12-03
Last Update Date2014-12-03
Business Address
-- JUSTIN TAN DDS
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone number: 360-414-1300
Mailing Address
-- JUSTIN TAN DDS
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone number: 360-414-1300
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