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Ethan Ta, DMD
NPI 1376432302 · on the registry since 2025
Practice
- Address
- 200 Mercy Circle
Camp Pendleton, CA 92055 - Phone
- (760) 725-5870
- Organisation at this address
- Nh Camp Pendleton
Naval Hospital Camp PendletonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 194
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California