Individual
ANDREA TAGUINOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(714) 537-0700
Mailing address
2049 N ACACIA AVE, FULLERTON, CA 92831-1260
(562) 262-1361
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
106238
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
07/28/2022
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