Pon T Tath, DMD | |
13500 Airport Rd, Boonville, CA 95415-9133 | |
(707) 895-3477 | |
(707) 895-2035 |
Full Name | Pon T Tath |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 13500 Airport Rd, Boonville, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225260623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 58706 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Pon T Tath, DMD Po Box 7783, Stockton, CA 95267-0783 Ph: (209) 597-3145 | Pon T Tath, DMD 13500 Airport Rd, Boonville, CA 95415-9133 Ph: (707) 895-3477 |
Mrs. Toni Marie Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13500 Airport Rd, Boonville, CA 95415 Phone: 707-895-3477 Fax: 707-895-2035 | |
Dr. Carole Ann Murphy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13500 Airport Rd, Boonville, CA 95415 Phone: 559-582-2827 Fax: 707-895-2035 |