Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rosita D. Tan DMD, Inc

Organization Dentist · NPI 1831451004

Rosita D. Tan DMD, Inc is a Dentist in Marina del Rey, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4560 Admiralty Way Ste 350
Marina del Rey, CA 90292-5423
Phone: (310) 822-8481
Fax: (310) 822-8083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40027 (CA)
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1831451004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosita Tan — Owner · (310) 822-8481
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 13, 2012
Mailing address4560 Admiralty Way, Suite 350, Marina Del Rey, CA 90292-5423

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