Most Relevant Information
Provider Data
| NPI Number: | 1003286519 |
| Provider Name: | TIAN JIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 64980 |
Most Important Dates
| Enumeration Date: | 09/28/2015 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
788 E WALNUT ST
PASADENA
CA
911011638
Practice Location Phone/Fax
| Phone: | 6265001599 |
| Fax: |
Provider Mailing Location
788 E WALNUT ST
PASADENA
CA
911011638
Provider Mailing Phone/Fax
| Phone: | 6265001599 |
| Fax: | 6265001023 |