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Search › Washington › 1223G0001X

Justin Tan, DDS

NPI 1235536475 · on the registry since 2014

Practice

Address
1057 12th Ave
Longview, WA 98632
Phone
(360) 414-1300
Organisation at this address
Cowlitz Family Health Center
Cowlitz Family Health Center
Cowlitz Family Health Center
Cowlitz Family Health Center
Cowlitz Family Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington