Individual
BRIAN T TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2446 FENTON ST, SUITE 101, CHULA VISTA, CA 91914-3516
(619) 621-5800
Mailing address
2446 FENTON ST, SUITE 101, CHULA VISTA, CA 91914-3516
(619) 621-5800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35346
CA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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