Organization
TATH FAMILY DENTAL, INC
Active
Other names
Mossdale Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PON TATH DMD (PRESIDENT)
(209) 597-3145
Entity
Organization
Contact information
Practice address
220 TOWNE CENTRE DR, LATHROP, CA 95330-9533
(209) 597-3145
Mailing address
220 TOWNE CENTRE DR, LATHROP, CA 95330
(209) 597-3145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/11/2019
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