TAN DENTAL PRACTICE PLLC
Dentist at Clyde St, Flushing, NY

License number
New York 0498641
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: STELLA EI BE TAN D.D.S
Title: MEMBER
Phone: (917) 515-8226
Address
Address
6854 Clyde St APT 2, Flushing, NY 11375
National Provider ID: 1124280664
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TAN DENTAL PRACTICE PLLC

Flushing, NY

Industry:
Dentist's Office
Registration:
Jun 9, 2008
Addresses:
68-54 Clyde St, Forest Hills, NY 11375 (Physical)
6854 Clyde St, Flushing, NY 11375
State ID:
3682350
Business type:
Domestic Professional Service Limited Liability Company
Member, Principal:
Stella E. Tan (Member, Principal)

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