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1265424642
KIMTY TAN
PHILADELPHIA, PA
NPI
1265424642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DS026581-L)
Enumeration Date
2005-08-22
Last Update Date
2007-07-08
Business Address
Dr. KIMTY TAN D.M.D
1018 W LEHIGH AVE
PHILADELPHIA, PA 19133-1640
Phone number: 215-227-1881
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Mailing Address
Dr. KIMTY TAN D.M.D
5761 N 6TH ST
PHILADELPHIA, PA 19120-2201
Phone number: 215-924-8056
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