DR. Timothy Noel Tanada, D.M.D.

NPI #1952522716 in Camas, Washington

Provider Information

NPI Number: 1952522716
Entity Type: Individual
Name: DR. Timothy Noel Tanada, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19221 SE 34TH STREET
City: Camas
State: Washington
ZIP Code: 98607
Phone: (360) 882-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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