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1699544296
EDWARD GAO TAN
LAGUNA BEACH, CA
NPI
1699544296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 109707)
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
Dr. EDWARD GAO TAN DMD
1055 SUMMIT DR
LAGUNA BEACH, CA 92651-3430
Phone number: 760-828-8850
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Mailing Address
Dr. EDWARD GAO TAN DMD
1055 SUMMIT DR
LAGUNA BEACH, CA 92651-3430
Phone number: 760-828-8850
Copy
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