Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marissa Baula Tayag, DMD

Individual provider General Practice Dentistry · NPI 1245489335

Dr. Marissa Baula Tayag, DMD is a General Practice Dentistry in Poway, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12222 Poway Rd Ste 6
Poway, CA 92064-4220
Phone: (858) 486-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40028 (CA)

Record details

NPI number1245489335
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 12, 2008
Last updated in NPPESSeptember 12, 2008

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