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Organization
WALNUT CREEK MODERN DENTISTRY, PROF. CORP.
Active
Organization
WALNUT CREEK MODERN DENTISTRY, PROF. CORP.
Active
Other names
Walnut Creek Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TALIA TABA DDS (OWNER)
(925) 262-9734
Entity
Organization
Contact information
Practice address
2200 OAK GROVE RD, WALNUT CREEK, CA 94598-2509
(925) 262-9734
(925) 262-8093
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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