Ke Dong Tiao

NPI #1538774948 in Camp Pendleton, California

Provider Information

NPI Number: 1538774948
Entity Type: Individual
Name: Ke Dong Tiao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Sep 11, 2020
Last Updated: May 15, 2024

Practice Location

Address: 92055 14TH ST
Address 2: CAMP PENDLETON NORTH
City: Camp Pendleton
State: California
ZIP Code: 92058
Phone: (760) 725-5870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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