DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAM TUN TAN, D.M.D.

Active Sole Proprietor

DR. SAM TUN TAN, D.M.D. is a Dentist healthcare provider located in SAN LEANDRO, California. NPI 1194921072 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN LEANDRO, CA

Registration Details

NPI Number
1194921072
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2007 (19.12793347085 yrs)
Last Updated
Jul 8, 2007
License
47570 (CA)
Sole Proprietor
Yes

Practice Information

Address
425 ESTUDILLO AVE
SUITE C
SAN LEANDRO, CA, 945774961
Browse CA providers · Browse ZIP 94577
Phone
5104831543
Fax
5104833180
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SAN LEANDRO, CA

Name Credential NPI
DR. LORETO R SICAM JR. DMD 1336143189
DR. GARY SCOTT AIKAWA D.D.S. 1881683845
DR. JOHN P DIPONZIANO DDS 1770569600
DR. MICHAEL SCOTT LEE DDS 1649299140
DR. BARBARA A KELLY DMD 1871503847
WALTER F. TICKNER DDS 1962516211
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.