TANIMURA DDS MSD AND PENG DDS INC. NPI 1861477796

NPI Information

TANIMURA, DDS, MSD AND PENG, DDS, INC. is a pediatric dentistry dentist in Antioch, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. TANIMURA, DDS, MSD AND PENG, DDS, INC. NPI is 1861477796. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Antioch & Brentwood Pediatric Dentistry.

The provider's business location address is:

2901 LONE TREE WAY
ANTIOCH, CA
ZIP 94509-963
Phone: (925) 757-4220
Fax: (925) 757-5457

The provider's authorized official is Leslie K. Tanimura .
The authorized official title is Chief Financial Officer and has the following contact phone number (925) 757-4220.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 2/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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