| Tan H. Van, Dds, P.a. | |
|
22038 W 66th St Shawnee KS 66226-3500 | |
| (913) 441-9553 | |
| (913) 441-9559 |
| Full Name | Tan H. Van, Dds, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22038 W 66th St, Shawnee, Kansas |
| Authorized Official Name and Position | Tan H. Van (PRESIDENT) |
| Authorized Official Contact | 9134419553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tan H. Van, Dds, P.a. 23519 W 46th St Shawnee KS 66226-2508 Ph: (913) 441-9553 | Tan H. Van, Dds, P.a. 22038 W 66th St Shawnee KS 66226-3500 Ph: (913) 441-9553 |
| NPI Number | 1386805729 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386805729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60033 (Kansas) | Primary |
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