Individual
DR. ALAN TANISAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22408 CHARLENE WAY, CASTRO VALLEY, CA 94546-7102
(510) 881-1922
(510) 727-1583
Mailing address
22408 CHARLENE WAY, CASTRO VALLEY, CA 94546-7102
(510) 881-1922
(510) 727-1583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25056
CA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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