DR. Jun Jine Jack Tan, D.M.D. is a student in an organized health care education training program in Bronx, NY. The provider is 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. DR. Jun Jine Jack Tan, D.M.D. NPI is 1114273034. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3450 WAYNE AVE
16L
BRONX, NY
ZIP 10467-510
Phone: (347) 972-3540
The enumeration date for this NPI number is 7/29/2012 and was last updated on 7/29/2012.