DR. Marta Walchessen Tanaka, D.D.S.

NPI #1336131804 in Camp Pendleton, California

Provider Information

NPI Number: 1336131804
Entity Type: Individual
Name: DR. Marta Walchessen Tanaka, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 13128 14TH ST
City: Camp Pendleton
State: California
ZIP Code: 92055-5221
Phone: (760) 725-5578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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