| Jack Tan, | |
|
201 Walnut Ave Bldg 201, Vallejo, CA 94592-1107 | |
| (707) 562-8200 | |
| Not Available |
| Full Name | Jack Tan |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 201 Walnut Ave Bldg 201, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073434387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 113095 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Tan, 377 El Paseo, Millbrae, CA 94030-2313 Ph: Not Available | Jack Tan, 201 Walnut Ave Bldg 201, Vallejo, CA 94592-1107 Ph: (707) 562-8200 |
Dr. Steve C. Dacasin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 96 Springstowne Center, Suite A, Vallejo, CA 94591 Phone: 707-644-5528 Fax: 707-644-5529 |
Dr. Awa Alizadeh Ghannad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 914 Admiral Callaghan Ln, Vallejo, CA 94591 Phone: 707-674-5437 |
Sandeep Kumar, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3400 Sonoma Blvd, Vallejo, CA 94590 Phone: 707-554-4000 |
Eugene P Luna, DDS Dentist Medicare: Medicare Enrolled Practice Location: 415 Georgia St, Vallejo, CA 94590 Phone: 707-558-2000 Fax: 707-644-3507 |
Mark Watanabe, Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Walnut Ave, Vallejo, CA 94592 Phone: 707-562-8229 |
Dr. Noel Austria Fernandez, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2629 Springs Rd, Vallejo, CA 94591 Phone: 707-674-2777 Fax: 707-642-2890 |
Suzanne Clift, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Rotary Way, Vallejo, CA 94591 Phone: 707-643-7654 |