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Organization
TENGGREN DENTAL CORP
Active
Organization
TENGGREN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART P TENGGREN DDS (PRESIDENT)
(805) 217-8138
Entity
Organization
Contact information
Practice address
255 N WILSON ST STE D, NIPOMO, CA 93444-7830
(805) 929-3219
(805) 929-4798
Mailing address
7349 ROCKY TOP CIR, MOORPARK, CA 93021-1299
(805) 217-8138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45780
CA
Other
Enumeration date
10/19/2006
Last updated
07/30/2025
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