Individual
DR. TSUYOSHI TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 CENTER DR RM D10-6, GAINESVILLE, FL 32610-0434
(317) 515-2372
Mailing address
1395 CENTER DR RM D10-6, GAINESVILLE, FL 32610-0434
(317) 515-2372
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL12969
MA
1223P0300X
Periodontics
Primary
DTP690
FL
Other
Enumeration date
07/11/2016
Last updated
01/20/2021
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