Individual provider · Type 1 NPI

Maristela Tan, DMD

Dentist · Fairfield, CA

NPI number 1164569646 Active

Practice location

2440 N Texas St
Fairfield, CA 94533-1602

Call (707) 422-4600 Map

Fax (707) 422-0396

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X50829 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164569646

Maristela Tan, DMD's National Provider Identifier is 1164569646, issued on Jan 31, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.