| Tantra Djaya D.d.s Inc. | |
|
9316 Painter Ave Whittier CA 90605-2727 | |
| (562) 945-9493 | |
| (562) 639-8781 |
| Full Name | Tantra Djaya D.d.s Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9316 Painter Ave, Whittier, California |
| Authorized Official Name and Position | Tantra Djaya (DENTIST) |
| Authorized Official Contact | 5629459493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tantra Djaya D.d.s Inc. 9316 Painter Ave Whittier CA 90605-2727 Ph: (562) 945-9493 | Tantra Djaya D.d.s Inc. 9316 Painter Ave Whittier CA 90605-2727 Ph: (562) 945-9493 |
| NPI Number | 1982811725 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982811725 | NPI | - | NPPES |
| 969806 | Other | CA | UNITED CONCORDIA PROVIDER |
| B33277-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33277 (California) | Primary |
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