Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE TA, DMD
ActiveMICHELLE TA, DMD is a Pediatric Dentistry healthcare provider located in SAN RAFAEL, California. NPI 1124643739 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1124643739
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2020 (6.1559089519888 yrs)
- Last Updated
- Jun 9, 2020
- License
-
DDS104671 (CA)
Practice Information
- Address
-
912 GRAND AVE STE 202SAN RAFAEL, CA, 949013552Browse CA providers · Browse ZIP 94901
- Phone
- 4087170888
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. APARNA AGHI | DMD | 1104815513 |
| DR. MARTIN SINAI RAYMAN | DDS | 1649386921 |
| DR. WILLIAM RICHARD CANIHAN | D.D.S. | 1063848919 |
| DR. OMID MIRFENDERESKI | DDS, MPH | 1891369641 |
| DR. TANNER OLSON | DDS | 1518630607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.