DR. Erwin Tamayo Carracedo, D.M.D.
NPI #1164625075 in Santa Rosa, California
Provider Information
- NPI Number
- 1164625075
- Entity Type
- Individual
- Name
- DR. Erwin Tamayo Carracedo, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 7, 2007
- Last Updated
- Mar 29, 2010
Practice Location
- Address
- 1331 GUERNEVILLE RD
- Address 2
- SUITE G
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95403-4162
- Phone
- (650) 742-9092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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