Organization · Type 2 NPI

Tanimura, Dds, MSD and Peng, Dds, Inc.

Pediatric Dentistry · Antioch, CA

NPI number 1861477796 Active

Practice location

2901 Lone Tree Way
Antioch, CA 94509-4963

Call (925) 757-4220 Map

Fax (925) 757-5457

Mailing address

2390 Country Hills Drive,, Suite 102
Antioch, CA 94509

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

NPI record

NPI: 1861477796
Entity type: Organization (Type 2)
Issued: Dec 14, 2005
Last updated: Feb 24, 2010
Status: Active

Other names

<unavail>
Antioch & Brentwood Pediatric Dentistry · doing business as

Authorized official

Dr. Leslie K. Tanimura, DDS, MSD
Chief Financial Officer
(925) 757-4220

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861477796

Tanimura, Dds, MSD and Peng, Dds, Inc.'s National Provider Identifier is 1861477796, issued on Dec 14, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Antioch, CA. The record was last updated on Feb 24, 2010.