Individual
MAMORU TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, FACP
Contact information
Practice address
8008 FROST ST # 800, SAN DIEGO, CA 92123-4205
(617) 459-9491
Mailing address
8008 FROST ST # 800, SAN DIEGO, CA 92123-4205
(617) 459-9491
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
101517
CA
1223P0700X
Prosthodontics
31503
TX
Other
Enumeration date
10/20/2011
Last updated
11/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us