| 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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