Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rosita D. Tan DMD, Inc

Organization Dentist · NPI 1831451004

Rosita D. Tan DMD, Inc provides Dentist services in Marina del Rey, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4560 Admiralty Way Ste 350
Marina del Rey, CA 90292-5423 Not confirmed with CMS for 14 years — call before visiting
Phone: (310) 822-8481
Fax: (310) 822-8083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40027 (CA)
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1831451004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosita Tan — Owner · (310) 822-8481
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 13, 2012
Mailing address4560 Admiralty Way, Suite 350, Marina Del Rey, CA 90292-5423

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