Provider Demographics
NPI:1891886628
Name:TAPANG, NILO ABAYAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NILO
Middle Name:ABAYAN
Last Name:TAPANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 MATHER FIELD RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-5966
Mailing Address - Country:US
Mailing Address - Phone:916-438-2866
Mailing Address - Fax:916-438-2868
Practice Address - Street 1:3340 MATHER FIELD RD
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-5966
Practice Address - Country:US
Practice Address - Phone:916-438-2866
Practice Address - Fax:916-438-2868
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA407411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice