Tanabe Family Dentistry | |
947 Magnolia St Gridley CA 95948-3020 | |
(530) 300-4005 | |
Not Available |
Full Name | Tanabe Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 947 Magnolia St, Gridley, California |
Authorized Official Name and Position | Renee Kameko Tanabe (OWNER) |
Authorized Official Contact | 5303004005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tanabe Family Dentistry 177 Larkin Rd Gridley CA 95948-9748 Ph: (530) 300-4005 | Tanabe Family Dentistry 947 Magnolia St Gridley CA 95948-3020 Ph: (530) 300-4005 |
NPI Number | 1679197073 |
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Provider Enumeration Date | 06/01/2020 |
Last Update Date | 06/01/2020 |
Identifier | Type | State | Issuer |
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1679197073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |