Organization
DARRON TANIOKA DDS INC
Active
Other names
creekside dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY HOANG DDS (OWNER)
(951) 699-3250
Entity
Organization
Contact information
Practice address
41785 NICOLE LN STE A3, TEMECULA, CA 92591-3874
(951) 699-3250
(951) 699-3830
Mailing address
41785 NICOLE LN STE A3, TEMECULA, CA 92591-3874
(951) 699-3250
(951) 699-3830
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/31/2013
Last updated
09/22/2020
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