Pon T Tath, D.M.D.

NPI #1225260623 in Boonville, California

Provider Information

NPI Number: 1225260623
Entity Type: Individual
Name: Pon T Tath, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 18, 2009
Last Updated: Dec 9, 2019

Practice Location

Address: 13500 AIRPORT RD
City: Boonville
State: California
ZIP Code: 95415-9133
Phone: (707) 895-3477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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