MICHELLE TA, DMD
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1124643739
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | DDS104671 (CA) |
Frequently Asked Questions
NPI 1124643739 is the National Provider Identifier for MICHELLE TA, DMD, a Dentist - Pediatric Dentistry provider located in San Rafael, CA. This NPI was enumerated on June 9, 2020.
MICHELLE TA, DMD practices at 912 GRAND AVE STE 202, San Rafael, CA 94901.
Quick Facts
- NPI
- 1124643739
- Type
- Individual
- Enumerated
- Jun 9, 2020
- Last Updated
- Jun 9, 2020
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