Organization
BRIAN T. TANAKA, D.M.D., A.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN T TANAKA D.M.D. (OWNER)
(619) 621-5800
Entity
Organization
Contact information
Practice address
2446 FENTON ST, SUITE 101, CHULA VISTA, CA 91914-3516
(619) 621-5800
(619) 621-5700
Mailing address
2446 FENTON ST, SUITE 101, CHULA VISTA, CA 91914-3516
(619) 621-5800
(619) 621-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35346
CA
Other
Enumeration date
10/31/2005
Last updated
09/04/2007
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