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Jack Tan
NPI 1073434387 · on the registry since 2026
Practice
- Address
- 201 Walnut Ave Bldg 201
Vallejo, CA 94592 - Phone
- (707) 562-8200
- Organisation at this address
- Martinez Vamc
Martinez Vamc
Veterans AdministrationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California