Healthcare Provider Details

I. General information

NPI: 1376977322
Provider Name (Legal Business Name): TURLOCK SMILES DENTISTRY DENTAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 W MONTE VISTA AVE
TURLOCK CA
95380-8409
US

IV. Provider business mailing address

17000 RED HILL AVE
IRVINE CA
92614-5626
US

V. Phone/Fax

Practice location:
  • Phone: 209-667-2879
  • Fax: 209-667-2889
Mailing address:
  • Phone: 714-845-8890
  • Fax: 949-474-1495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ARFAN TABA
Title or Position: OWNER
Credential: DDS
Phone: 209-667-2879