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Organization
TATH FAMILY DENTAL, INC
Active
Organization
TATH FAMILY DENTAL, INC
Active
Other names
Mossdale Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PON TATH DMD (PRESIDENT)
(209) 597-3145
Entity
Organization
Contact information
Practice address
220 TOWNE CENTRE DR, LATHROP, CA 95330-9533
(209) 597-3145
Mailing address
220 TOWNE CENTRE DR, LATHROP, CA 95330
(209) 597-3145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/11/2019
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