Marta Walchessen Tanaka in Camp Pendleton - Dentist
Marta Walchessen Tanaka - NPI 1336131804
Marta Walchessen Tanaka is a Dentist in Camp Pendleton, California. Marta Walchessen Tanaka practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marta Walchessen Tanaka is 1336131804. The last update date is 2007-07-08.
Marta Walchessen Tanaka's current location address is 13128 14th St, Camp Pendleton, California. You can contact this provider via phone number 7607255578 and fax number 7607255578. The mailing address for Marta Walchessen Tanaka is 13128 14th St, Camp Pendleton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marta Walchessen Tanaka |
|---|---|
| Address | 13128 14th St, Camp Pendleton, California |
| Phone Number | 7607255578 |
| Fax Number | 7607255578 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336131804 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13128 14th St |
|---|---|
| City | Camp Pendleton |
| State | California (CA) |
| Post Code | 920555221 |
| Phone Number | 7607255578 |
| Fax Number | 7607255578 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D9803 |
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Definition: 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: denti |
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What is the unique identifier code issued to Marta Walchessen Tanaka by the Centers for Medicare & Medicaid Services?
The Marta Walchessen Tanaka has been assigned the NPI (National Provider Identifier) 1336131804. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Marta Walchessen Tanaka is located?
The Marta Walchessen Tanaka is situated at the following address: 13128 14Th St, Camp Pendleton, CA, 920555221.
What is the Marta Walchessen Tanaka's area of specialization and corresponding taxonomy classification?
The Marta Walchessen Tanaka's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Marta Walchessen Tanaka receive its 1336131804?
The Marta Walchessen Tanaka was issued its 1336131804 on 2005-08-19, which is the date when the organization was assigned this unique identifier.
When was the information related to Marta Walchessen Tanaka most recently updated or refreshed?
The details pertaining to the Marta Walchessen Tanaka, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1952305765
Address: 30055 Northwestern Hwy Ste 260, Farmington Hills, MI