Justine Tanjaya
Orthodontists
1604 New York Ave
Arlington
, Texas 76010-4724
Justine Tanjaya
Orthodontists
1604 New York Ave
Arlington
, Texas 76010-4724
(619) 549-6520
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Justine Tanjaya
- 3790 Cedarplaza Ln Apt 2324
- Dallas, TX
- Zip : 75209-6379
- Phone : (619) 549-6520
Second Address
- Justine Tanjaya
- 1604 New York Ave
- Arlington, TX
- Zip : 76010-4724
- Phone : (619) 549-6520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 35540 | TX |
National Provider Identifier
| NPI | 1013560598 |
|---|---|
| Provider Name | Justine Tanjaya |
| First Address | Dallas, TX 75209-6379 |
| Second Address | Arlington, TX 76010-4724 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2019 |
| Last Update Date | 23/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.