Tristan Eleazar Mendoza, DDS. Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1801168547
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 59736 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-01-26
- Last updated
- 2012-01-26
Practice location
3000 Colby St, Ste. 302
Berkeley, CA 94705-2083
(510) 843-4450