Giancarlo Tassara Dds Inc | |
1111 W Town And Country Rd Ste 46 Orange CA 92868-4667 | |
(612) 720-6723 | |
Not Available |
Full Name | Giancarlo Tassara Dds Inc |
---|---|
Speciality | Dentist |
Location | 1111 W Town And Country Rd Ste 46, Orange, California |
Authorized Official Name and Position | Giancarlo Tassara (PRESIDENT) |
Authorized Official Contact | 6127206723 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Giancarlo Tassara Dds Inc 1111 W Town And Country Rd Ste 46 Orange CA 92868-4667 Ph: () - | Giancarlo Tassara Dds Inc 1111 W Town And Country Rd Ste 46 Orange CA 92868-4667 Ph: (612) 720-6723 |
NPI Number | 1174081152 |
---|---|
Provider Enumeration Date | 03/08/2019 |
Last Update Date | 03/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174081152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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