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Organization
S. TANI, A DENTAL CORPORATION
Active
Organization
S. TANI, A DENTAL CORPORATION
Active
Other names
Melrose Square Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART TANI (PRESIDENT)
(760) 727-6800
Entity
Organization
Contact information
Practice address
1680 S MELROSE DR, #108, VISTA, CA 92081-5472
(760) 727-6800
Mailing address
1680 S MELROSE DR, #108, VISTA, CA 92081-5472
(760) 727-6800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32622
CA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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