Organization
EMIL TANASE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIL TANASE DDS (CEO/OWNER)
(209) 369-2696
Entity
Organization
Contact information
Practice address
525 S FAIRMONT AVE STE H, LODI, CA 95240-3860
(209) 369-2696
Mailing address
525 S FAIRMONT AVE STE H, LODI, CA 95240-3860
(209) 369-2696
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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