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Organization
TANTRA DJAYA D.D.S INC.
Active
Organization
TANTRA DJAYA D.D.S INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANTRA DJAYA DDS (DENTIST)
(562) 945-9493
Entity
Organization
Contact information
Practice address
9316 PAINTER AVE, WHITTIER, CA 90605-2727
(562) 945-9493
(562) 639-8781
Mailing address
9316 PAINTER AVE, WHITTIER, CA 90605-2727
(562) 945-9493
(562) 693-8781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
969806
UNITED CONCORDIA PROVIDER
CA
01
—
B33277-01
DENTICAL
CA
Enumeration date
05/17/2007
Last updated
08/06/2009
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