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Dr. Marissa Baula Tayag, DMD
General Practice Dentistry in Poway, California
NPI 1245489335

Marissa Baula Tayag is a General Practice Dentistry based in Poway, CA and is specialized in General Practice. Marissa Baula Tayag practices in Poway, CA and has the professional credentials of DMD. The NPI Number for Marissa Baula Tayag is 1245489335 and holds a License No. 40028 (California).

The current practice location address for Marissa Baula Tayag is 12222 Poway Rd Ste 6, Poway, CA and can be reached out via phone at 858-486-7000.

Location: 12222 Poway Rd Ste 6, Poway, CA, 92064-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245489335
Provider Name
Marissa Baula Tayag
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
12222 Poway Rd Ste 6, Poway, CA, 92064-4220
Phone Number
858-486-7000
Fax Number
Provider Enumeration Date
09/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40028 05 CA
institution
Provider Business Practice Location Address Details
Address
12222 Poway Rd Ste 6
City
Poway
State
California
Zip
92064-4220
Phone Number
858-486-7000
Fax Number
person
Provider Business Mailing Address Details
Address
12222 Poway Rd Ste 6
City
Poway
State
California
Zip
92064-4220
Phone Number
858-486-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
40028 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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