DR. An Ta, DMD

NPI #1346751187 in Cleveland, Tennessee

Provider Information

NPI Number: 1346751187
Entity Type: Individual
Name: DR. An Ta, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 19, 2017
Last Updated: Mar 22, 2023

Practice Location

Address: 64 MOUSE CREEK RD NW
City: Cleveland
State: Tennessee
ZIP Code: 37312-4800
Phone: (858) 774-5663

Specialties & Taxonomy Codes

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

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