Provider Demographics
NPI:1891830378
Name:CHING, KAREN TANIGUCHI (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:TANIGUCHI
Last Name:CHING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:TANIGUCHI
Other - Last Name:CHING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:345 9TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-6522
Mailing Address - Country:US
Mailing Address - Phone:510-986-6888
Mailing Address - Fax:
Practice Address - Street 1:345 9TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-6522
Practice Address - Country:US
Practice Address - Phone:510-986-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA486851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry