Individual
DR. ANTHONY TAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10440 S DE ANZA BLVD, SUITE D-4, CUPERTINO, CA 95014-3018
(408) 807-4853
Mailing address
4778 MOORPARK AVE, SAN JOSE, CA 95129-2041
(408) 807-4853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100074
CA
Other
Enumeration date
04/01/2016
Last updated
01/08/2024
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