Individual
DR. GREGG ALAN TARTAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4712 ADMIRALTY WAY, UNIT 675, MARINA DEL REY, CA 90292-6905
(310) 728-9230
Mailing address
4712 ADMIRALTY WAY, #675, MARINA DEL REY, CA 90292-6905
(310) 728-9230
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54076
CA
Other
Enumeration date
05/18/2007
Last updated
04/12/2012
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