Individual
DR. CHRISTOPHER REUBEN TATARYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5275 HOLT BLVD STE E, MONTCLAIR, CA 91763-4822
(909) 616-5050
Mailing address
250 N COLLEGE PARK DR APT O33, UPLAND, CA 91786-9413
(509) 638-2046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109299
CA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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