# ALLEGIANCE DENTAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740569631
- **Authorized official:** STUART T TANI DDS (OWNER)
- **Authorized official phone:** (858) 279-6100

## Contact information

- **Practice address:** 4690 GENESEE AVE, SUITE B, SAN DIEGO, CA 92117-3000
- **Practice address phone:** (858) 279-6100
- **Practice address fax:** (858) 279-6112
- **Mailing address:** 4690 GENESEE AVE, SUITE B, SAN DIEGO, CA 92117-3000
- **Mailing address phone:** (858) 279-6100
- **Mailing address fax:** (858) 279-6112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 32622 | CA | Yes |

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 06/29/2012