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Individual
DR. TSUYOSHI TANAKA
Active
Individual
DR. TSUYOSHI TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL12969
MA
1223P0300X
Periodontics
Primary
DTP690
FL
Other
Enumeration date
07/11/2016
Last updated
01/20/2021
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