Individual provider · Type 1 NPI

Mirabel Hladky Cayco-Tangco, DDS

Dentist · Santa Rosa, CA

NPI number 1417023979 Active

Practice location

2448 Guerneville Rd, Suite 1000
Santa Rosa, CA 95403-4175

Mailing address

4145 Shadow Ln, #132
Santa Rosa, CA 95405

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X54421 (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 1417023979

Mirabel Hladky Cayco-Tangco, DDS's National Provider Identifier is 1417023979, issued on Nov 28, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 17, 2011.