Mirabel Hladky Cayco-Tangco in Santa Rosa - Dentist
Mirabel Hladky Cayco-Tangco - NPI 1417023979
Mirabel Hladky Cayco-Tangco is a Dentist in Santa Rosa, California. Mirabel Hladky Cayco-Tangco practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mirabel Hladky Cayco-Tangco is 1417023979. The last update date is 2011-08-17.
Mirabel Hladky Cayco-Tangco's current location address is 4145 Shadow Ln, Santa Rosa, California. You can contact this provider via phone number 7078430504. The mailing address for Mirabel Hladky Cayco-Tangco is 4145 Shadow Ln, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mirabel Hladky Cayco-Tangco |
|---|---|
| Address | 4145 Shadow Ln, Santa Rosa, California |
| Phone Number | 7078430504 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417023979 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 4145 Shadow Ln |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95405 |
| Phone Number | 7078430504 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 54421 |
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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 identification code assigned to Mirabel Hladky Cayco-Tangco by the Centers for Medicare & Medicaid Services?
The Mirabel Hladky Cayco-Tangco has been issued the NPI (National Provider Identifier) 1417023979. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mirabel Hladky Cayco-Tangco is geographically located?
The Mirabel Hladky Cayco-Tangco is physically situated at the following location: 4145 Shadow Ln, Santa Rosa, CA, 95405.
What is Mirabel Hladky Cayco-Tangco's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mirabel Hladky Cayco-Tangco is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417023979 to Mirabel Hladky Cayco-Tangco?
The Centers for Medicare & Medicaid Services assigned the 1417023979 to Mirabel Hladky Cayco-Tangco on 2006-11-28.
When was the information related to Mirabel Hladky Cayco-Tangco most recently updated or refreshed?
The details pertaining to the Mirabel Hladky Cayco-Tangco, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-17.
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