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1811422421
TIAN YUAN
SAN DIEGO, CA
NPI
1811422421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 103438)
Additional Taxonomies
122300000X Dentist
(Licence: AZ D010163)
Enumeration Date
2017-04-21
Last Update Date
2019-04-18
Business Address
TIAN YUAN DMD
16918 DOVE CANYON RD STE 201
SAN DIEGO, CA 92127-3457
Phone number: 858-924-1000
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Mailing Address
TIAN YUAN DMD
16918 DOVE CANYON RD STE 201
SAN DIEGO, CA 92127-3457
Phone number: 858-924-1000
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