Individual ProviderVashira TanDentistDental ProvidersPractice Address10010 W. Cheyenne Ave., Suite#140, Las Vegas, NV 89129(702) 227-4392PECOS EnrollmentBased on the most recent information from CMS, provider Vashira Tan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1952377343Provider TypeIndividualFull NameTan, VashiraTitleDr.CredentialD.M.D.GenderMaleSole ProprietorYesEnumeration Date2/24/2006Last Updated2/2/2024Contact InformationPractice LocationPractice Address10010 W. Cheyenne Ave., Suite#140, Las Vegas, NV 89129Phone(702) 227-4392FaxUnlisted FaxMailing LocationMailing Address10010 W Cheyenne Ave Ste 140, Las Vegas, NV 89129-7714Phone(702) 227-4392FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense4810Nevada