A. Jayson Tengonciang, Dmd, Inc

NPI 1154685030 - Dentist - 1223E0200X

NPI Details
NPI 1154685030
Enumeration Date 06/26/2012
Last Updated 06/26/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALAN JAYSON ALAN
Position PRESIDENT
Phone (302) 230-6375
Fax
Practice Location
3762 CLAIREMONT DR
SAN DIEGO CA, 92117-5916, US
Phone (302) 230-6375
Fax
Business Location
4673 MALAYAN ST
SAN RAMON CA, 94582-5822, US
Phone
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State
License Number
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According to our database, A. Jayson Tengonciang, Dmd, Inc NPI is 1154685030, taxonomy code is 1223E0200X A. Jayson Tengonciang, Dmd, Inc physically located at 3762 Clairemont Dr, San Diego CA, 92117-5916. NPI Number 1033115704 has the healthcare provider type.

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1154685030 NPI number is provided on an as is basis without warranty of any kind. 1154685030 is maintained by the National Plan & Provider Enumeration System. The contents of A. Jayson Tengonciang, Dmd, Inc are for informational purposes only.