S. Tani, A Dental Corporation
Dentist, General Practice in Vista, CA. Organization (NPI-2).
NPI number1518183003
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1518183003
- Entity type
- Organization (NPI-2)
- Legal business name
- S. Tani, A Dental Corporation
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 32622 | CA | Yes |
Other names
- Melrose Square Dental Group (Doing Business As)
Practice location
1680 S Melrose Dr#108
Vista, CA 92081-5472
Phone 760-727-6800
Mailing address
1680 S Melrose Dr#108
Vista, CA 92081-5472
Phone 760-727-6800
Authorized official
Stuart Tani
President
7607276800
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