Individual provider · Type 1 NPI

Jun Jine Jack Tan, DMD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1114273034 Active

Practice location

3450 Wayne Ave, 16L
Bronx, NY 10467-2510

Call (347) 972-3540 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114273034

Jun Jine Jack Tan, DMD's National Provider Identifier is 1114273034, issued on Jul 29, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 29, 2012.