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Female

Dr. Suejane I. Tan DDS

Dentist in Silver Spring, MD(View on Map)

Full Name

Dr. Suejane Iv Tan DDS

NPI Number

1235768995

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/05/2020

Specialties

(Taxonomies)

Name

Dentist
Student in an Organized Health Care Education/Training Program

Code

122300000X
390200000X

Primary Taxonomy

Yes
No

Licenses

State

Maryland

License Number

221266

Contact
Information

Purpose

Mailing
Location

Address

300 NOVA CT
13321 NEW HAMPSHIRE AVE STE 102

City

Silver Spring
Silver Spring

State

MD
MD

Postal Code

20904-5901
20904-3450

Country

US
US

Telephone Number

(240) 491-6059
(301) 989-3400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2021

Provider Address

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