Mamoru Tanaka is a San Diego, California based Prosthodontics who is specialized in
Prosthetic Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mamoru Tanaka is
101517 for Prosthetic Dentistry in California. His current practice location is
8008 Frost St # 800, San Diego. Patients can reach him at
617-459-9491.
Mamoru Tanaka specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Mamoru Tanaka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mamoru Tanaka |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | D.D.S, FACP |
| Accepts Medicare Assignment: | No |
| Practice Address: | 8008 Frost St # 800, San Diego,
California, 92123-4205 |
| Phone: | 617-459-9491 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1265717391 |
| NPI Enumeration Date: | 20 Oct, 2011 |
| NPI Last Update On: | 22 Nov, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mamoru Tanaka are as mentioned below.
| License Number | Specialization | State | Status | |
| 101517 | Prosthetic Dentistry | California | Primary | |
| 31503 | Prosthetic Dentistry | Texas | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8008 Frost St # 800,
San Diego, California |
| Zip: | 92123-4205 |
| Phone Number: | 617-459-9491 |
Patients can reach Mamoru Tanaka at
8008 Frost St # 800, San Diego, California or can
call to book an appointment on 617-459-9491.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.