| Regina Tan Dds Inc. | |
|
30 Centerpointe Dr Suite 10 La Palma CA 90623-1055 | |
| (714) 994-0888 | |
| (714) 994-6038 |
| Full Name | Regina Tan Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 30 Centerpointe Dr, La Palma, California |
| Authorized Official Name and Position | Regina Mallari Tan (PRESIDENT) |
| Authorized Official Contact | 7149940888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Tan Dds Inc. 30 Centerpointe Dr Suite 10 La Palma CA 90623-1055 Ph: (714) 994-0888 | Regina Tan Dds Inc. 30 Centerpointe Dr Suite 10 La Palma CA 90623-1055 Ph: (714) 994-0888 |
| NPI Number | 1346635265 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346635265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41314 (California) | Primary |
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