Individual provider · Type 1 NPI

Mamoru Tanaka, D.D.S, FACP

Prosthodontics · San Diego, CA

NPI number 1265717391 Active

Practice location

8008 Frost St # 800
San Diego, CA 92123-4205

Call (617) 459-9491 Map

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X101517 (CA)
Prosthodontics 1223P0700X31503 (TX)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1265717391

Mamoru Tanaka, D.D.S, FACP's National Provider Identifier is 1265717391, issued on Oct 20, 2011. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in San Diego, CA. The record was last updated on Nov 22, 2022.