Organization
MIDORI TACHIBANA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIDORI TACHIBANA DDS (PRESIDENT)
(650) 375-1175
Entity
Organization
Contact information
Practice address
901 S EL CAMINO REAL, SAN MATEO, CA 94402-2311
(650) 375-1175
(650) 558-8476
Mailing address
901 S EL CAMINO REAL, SAN MATEO, CA 94402-2311
(650) 375-1175
(650) 558-8476
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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