| Rosita D. Tan Dmd, Inc | |
|
4560 Admiralty Way Suite 350 Marina Del Rey CA 90292-5423 | |
| (310) 822-8481 | |
| (310) 822-8083 |
| Full Name | Rosita D. Tan Dmd, Inc |
|---|---|
| Speciality | Dentist |
| Location | 4560 Admiralty Way, Marina Del Rey, California |
| Authorized Official Name and Position | Rosita D Tan (OWNER) |
| Authorized Official Contact | 3108228481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosita D. Tan Dmd, Inc 4560 Admiralty Way Suite 350 Marina Del Rey CA 90292-5423 Ph: (310) 822-8481 | Rosita D. Tan Dmd, Inc 4560 Admiralty Way Suite 350 Marina Del Rey CA 90292-5423 Ph: (310) 822-8481 |
| NPI Number | 1831451004 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831451004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40027 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Farid Farahnik Dds Inc., A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3017 Washington Blvd, Marina Del Rey, CA 90292 Phone: 310-500-0720 | |
Simon Grock Dds Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4553 Glencoe Ave # 310, Marina Del Rey, CA 90292 Phone: 310-384-3404 | |
Marina Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13155 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-2611 | |
Rosita D Tan Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, Suite 350, Marina Del Rey, CA 90292 Phone: 310-822-8481 Fax: 310-822-8083 | |
Oceanbreeze Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd Ste 404, Marina Del Rey, CA 90292 Phone: 310-578-2500 | |
Yeo Family Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way Ste 350, Marina Del Rey, CA 90292 Phone: 310-822-8481 Fax: 310-822-8083 | |
Marina Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13155 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-2611 |