Individual
GIANCARLO G TASSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 W TOWN AND COUNTRY RD STE 46, ORANGE, CA 92868-4667
(657) 235-8033
(657) 247-0444
Mailing address
1111 W TOWN AND COUNTRY RD STE 46, ORANGE, CA 92868-4667
(657) 235-8033
(657) 247-0444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56932
CA
Other
Enumeration date
12/04/2006
Last updated
02/26/2020
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