Individual
MENAKA TANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6540 SOUTH AVE, BOARDMAN, OH 44512-3651
(330) 758-6165
Mailing address
6540 SOUTH AVE, BOARDMAN, OH 44512-3651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
605316204
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.028284
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605316204
UCLA DENTAL STUDENT ID
CA
Enumeration date
06/07/2022
Last updated
03/17/2026
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