Nihar D Tanna Dds Ms Incorporated | |
2569 Chino Hills Pkwy Unit K Chino Hills CA 91709-5120 | |
(909) 464-9348 | |
(909) 464-9239 |
Full Name | Nihar D Tanna Dds Ms Incorporated |
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Speciality | Dentist |
Location | 2569 Chino Hills Pkwy Unit K, Chino Hills, California |
Authorized Official Name and Position | Nihar D Tanna (PRESIDENT) |
Authorized Official Contact | 9094649348 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nihar D Tanna Dds Ms Incorporated 27035 Big Horn Mountain Way Yorba Linda CA 92887-4211 Ph: (909) 753-8215 | Nihar D Tanna Dds Ms Incorporated 2569 Chino Hills Pkwy Unit K Chino Hills CA 91709-5120 Ph: (909) 464-9348 |
NPI Number | 1780111922 |
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Provider Enumeration Date | 05/18/2017 |
Last Update Date | 04/29/2020 |
Medicare PECOS PAC ID | 8729348834 |
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Medicare Enrollment ID | O20180212000537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780111922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 49812 (California) | Primary |
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