| Tath Family Dental, Inc | |
|
220 Towne Centre Dr Lathrop CA 95330-9533 | |
| (209) 597-3145 | |
| Not Available |
| Full Name | Tath Family Dental, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 Towne Centre Dr, Lathrop, California |
| Authorized Official Name and Position | Pon Tath (PRESIDENT) |
| Authorized Official Contact | 2095973145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tath Family Dental, Inc 220 Towne Centre Dr Lathrop CA 95330 Ph: (209) 597-3145 | Tath Family Dental, Inc 220 Towne Centre Dr Lathrop CA 95330-9533 Ph: (209) 597-3145 |
| NPI Number | 1891332789 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891332789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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