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Organization
KELLEN TADANO DDS PC
Active
Organization
KELLEN TADANO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEN M TADANO DDS (DENTIST)
(760) 720-2200
Entity
Organization
Contact information
Practice address
3144 EL CAMINO REAL, STE 102, CARLSBAD, CA 92008
(760) 720-2200
(760) 720-2203
Mailing address
3144 EL CAMINO REAL, STE 102, CARLSBAD, CA 92008
(760) 720-2200
(760) 720-2203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46984
CA
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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