Edrick Tan, DDS

NPI 1083446892 · on the registry since 2024 · sole proprietor

Practice

Address: 1315 S Winchester Blvd
San Jose, CA 95128
Phone: (408) 866-1819
Organisation at this address: Hung Thai Dental Corp
Thai Hung Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-19

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