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Contact Information

PANADDA TIEMPETPAISAL, DDS
1080 E WASHINGTON ST
STE B
COLTON, CA92324
 Phone: 909-738-9099
 Fax: 909-824-1677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PANADDA TIEMPETPAISAL · (Female)

NPI # 1083820096
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 47328
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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