Provider Demographics
NPI:1598965469
Name:TANIOKA, RALPH Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:Y
Last Name:TANIOKA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 TALMADGE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0948
Mailing Address - Country:US
Mailing Address - Phone:714-349-5295
Mailing Address - Fax:
Practice Address - Street 1:5153 HOLT BLVD STE A2
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4837
Practice Address - Country:US
Practice Address - Phone:909-625-6545
Practice Address - Fax:909-625-6546
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26709122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist