| Daniel Tanita, Dds Inc | |
|
2089 Vale Rd Ste 30 San Pablo CA 94806-3847 | |
| (510) 236-1661 | |
| (510) 236-6380 |
| Full Name | Daniel Tanita, Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2089 Vale Rd Ste 30, San Pablo, California |
| Authorized Official Name and Position | Danile Tanita (DENTIST) |
| Authorized Official Contact | 5102361661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Tanita, Dds Inc 2089 Vale Rd Ste 30 San Pablo CA 94806-3847 Ph: (510) 236-1661 | Daniel Tanita, Dds Inc 2089 Vale Rd Ste 30 San Pablo CA 94806-3847 Ph: (510) 236-1661 |
| NPI Number | 1467826297 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467826297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23569 (California) | Primary |
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