Individual
MR. DANIEL T TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11635 PONDEROSA AVE, FONTANA, CA 92337-7622
(951) 685-4263
Mailing address
11635 PONDEROSA AVE, FONTANA, CA 92337-7622
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24570
CA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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