DR. Marissa Baula Tayag, D.M.D.
NPI #1245489335 in Poway, California
Provider Information
- NPI Number
- 1245489335
- Entity Type
- Individual
- Name
- DR. Marissa Baula Tayag, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Sep 12, 2008
- Last Updated
- Sep 12, 2008
Practice Location
- Address
- 12222 POWAY RD STE 6
- City
- Poway
- State
- California
- ZIP Code
- 92064-4220
- Phone
- (858) 486-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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