Provider Demographics
NPI:1952053290
Name:TASKER AND ROWAN DENTAL CORPORATION OF MILPITAS
Entity Type:Organization
Organization Name:TASKER AND ROWAN DENTAL CORPORATION OF MILPITAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEANNINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SASO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-479-3432
Mailing Address - Street 1:530 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-3719
Mailing Address - Country:US
Mailing Address - Phone:916-479-3432
Mailing Address - Fax:
Practice Address - Street 1:6560 LONETREE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5891
Practice Address - Country:US
Practice Address - Phone:916-479-3432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty