Individual
DR. DAIJU TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25200 LA PAZ RD STE 109, LAGUNA HILLS, CA 92653-5134
(949) 855-9525
Mailing address
25200 LA PAZ RD STE 109, LAGUNA HILLS, CA 92653-5134
(949) 855-9525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52690
CA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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