Individual
RAYMUND M TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18301 N 79TH AVE, F160, GLENDALE, AZ 85308-6045
(623) 878-2600
(623) 878-4730
Mailing address
18301 N 79TH AVE, F160, GLENDALE, AZ 85308-6045
(623) 878-2600
(623) 878-4730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3088
AZ
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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