STEPHANIE TAN

LAFAYETTE, IN
NPI1326657511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12013876A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-07-23
Last Update Date2022-07-28
Business Address
STEPHANIE TAN
2347 CASON ST
LAFAYETTE, IN 47904-2670
Phone number: 765-447-6808
Mailing Address
STEPHANIE TAN
326 DOUBLE TREE DR
LAFAYETTE, IN 47905-8909
Phone number: