| NPI | 1285329680 |
|---|---|
| Doing Business As | KEVIN TAN DDS INC |
| Entity Type | Organization |
| Authorized Contact | KEVIN BRANDON TAN Dentist 909-633-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-08-17 |