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Organization
A. JAYSON TENGONCIANG, DMD, INC
Active
Organization
A. JAYSON TENGONCIANG, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JAYSON TENGONCIANG D.M.D. (PRESIDENT)
(302) 230-6375
Entity
Organization
Contact information
Practice address
3762 CLAIREMONT DR, SAN DIEGO, CA 92117-5916
(302) 230-6375
Mailing address
4673 MALAYAN ST, SAN RAMON, CA 94582-5822
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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