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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.