Antonio, Mary Yvette Tan
Antonio, Mary Yvette Tan is an individual health care provider with primary practice located at 327 Moffett Blvd , Mountain View CA 94043-4757. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Antonio, Mary Yvette Tan can be contacted via phone (650) 961-5424.Contact Information
Primary practice address
327 Moffett Blvd
Mountain View CA 94043-4757
Phone: (650) 961-5424
Fax: (650) 961-5466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 49053 | California |
Profile Details
| NPI number | 1427040252 |
|---|---|
| LBN Legal business name | Antonio, Mary Yvette Tan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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