Individual
DEREK TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2034 FOREST AVE STE 1A, SAN JOSE, CA 95128-4809
(408) 279-8080
Mailing address
2034 FOREST AVE STE 1A, SAN JOSE, CA 95128-4809
(408) 279-8080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
113194
CA
Other
Enumeration date
06/27/2026
Last updated
06/29/2026
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