Provider Demographics
NPI:1023458064
Name:TAGUINOD, NOEMI GARCIA (DMD)
Entity type:Individual
Prefix:DR
First Name:NOEMI
Middle Name:GARCIA
Last Name:TAGUINOD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 S BEACH BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1876
Mailing Address - Country:US
Mailing Address - Phone:714-816-0954
Mailing Address - Fax:714-816-0970
Practice Address - Street 1:408 S BEACH BLVD STE 113
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1876
Practice Address - Country:US
Practice Address - Phone:714-816-0954
Practice Address - Fax:714-816-0970
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA450291223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice