TINA WAN

SAN MARCOS, CA
NPI1669851564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  100840)
Enumeration Date2015-05-26
Last Update Date2016-11-17
Business Address
-- TINA WAN
709 CENTER DR STE 101
SAN MARCOS, CA 92069-2502
Phone number: 909-374-5173
Mailing Address
-- TINA WAN
709 CENTER DR STE 101
SAN MARCOS, CA 92069-2502
Phone number: 909-374-5173
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