# DARRON TANIOKA DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** creekside dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508105255
- **Authorized official:** DR. ANDY HOANG DDS (OWNER)
- **Authorized official phone:** (951) 699-3250

## Contact information

- **Practice address:** 41785 NICOLE LN STE A3, TEMECULA, CA 92591-3874
- **Practice address phone:** (951) 699-3250
- **Practice address fax:** (951) 699-3830
- **Mailing address:** 41785 NICOLE LN STE A3, TEMECULA, CA 92591-3874
- **Mailing address phone:** (951) 699-3250
- **Mailing address fax:** (951) 699-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/31/2013
- **Last updated:** 09/22/2020
