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Dr. Mintra Tan, DDS
Pediatric Dentist in East Los Angeles, California
NPI 1821249426

Mintra Tan is a Pediatric Dentist based in East Los Angeles, CA and is specialized in Pediatric Dentistry. Mintra Tan practices in East Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Mintra Tan is 1821249426 and holds a License No. 53108 (California).

The current practice location address for Mintra Tan is 151 S Mednik Ave, East Los Angeles, CA and can be reached out via phone at 323-263-3303.

Location: 151 S Mednik Ave, East Los Angeles, CA, 90022-1606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821249426
Provider Name
Mintra Tan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
151 S Mednik Ave, East Los Angeles, CA, 90022-1606
Phone Number
323-263-3303
Fax Number
Provider Enumeration Date
10/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 S Mednik Ave
City
East Los Angeles
State
California
Zip
90022-1606
Phone Number
323-263-3303
Fax Number
person
Provider Business Mailing Address Details
Address
151 S Mednik Ave
City
East Los Angeles
State
California
Zip
90022-1606
Phone Number
323-263-3303
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
53108 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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