Jack Tan
Jack Tan is a Dentist in Vallejo, California. Licensed in California. Registered with an NPI since 2026.
- Licensed in
- CA
- In the registry since
- 2026
Practice location Address checks out
201 Walnut Ave Bldg 201Vallejo, CA 94592-1107
Phone: (707) 562-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 113095 (CA) |
|---|
Record details
| NPI number | 1073434387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2026 |
| Last updated in NPPES | July 22, 2026 |
| Certification date | July 22, 2026 |
| Mailing address | 377 El Paseo, Millbrae, CA 94030-2313 |
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