MICHELLE TA

SAN RAFAEL, CA
NPI1124643739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  DDS104671)
Enumeration Date2020-06-09
Last Update Date2020-06-09
Business Address
MICHELLE TA DMD
912 GRAND AVE STE 202
SAN RAFAEL, CA 94901-3552
Phone number: 408-717-0888
Mailing Address
MICHELLE TA DMD
77 TENNANT AVE
SAN JOSE, CA 95138-1851
Phone number:
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