Organization
DANIEL TANITA, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILE TANITA (DENTIST)
(510) 236-1661
Entity
Organization
Contact information
Practice address
2089 VALE RD STE 30, SAN PABLO, CA 94806-3847
(510) 236-1661
(510) 236-6380
Mailing address
2089 VALE RD STE 30, SAN PABLO, CA 94806-3847
(510) 236-1661
(510) 236-6380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23569
CA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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