Individual
TARUN PADMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 S DOVE TREE LN, ANAHEIM, CA 92808-1421
(714) 388-8804
Mailing address
735 S DOVE TREE LN, ANAHEIM, CA 92808-1421
(714) 388-8804
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101547
CALIFORNIA LICENSE
CA
Enumeration date
07/28/2015
Last updated
07/21/2022
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