Organization
A. JAYSON TENGONCIANG, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JAYSON TENGONCIANG D.M.D. (PRESIDENT)
(302) 230-6375
Entity
Organization
Contact information
Practice address
3762 CLAIREMONT DR, SAN DIEGO, CA 92117-5916
(302) 230-6375
Mailing address
4673 MALAYAN ST, SAN RAMON, CA 94582-5822
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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