Lisa B Tabora DDS INC
NPI #1255548871 in Glendale, California
Provider Information
- NPI Number
- 1255548871
- Entity Type
- Organization
- Organization Name
- Lisa B Tabora DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 16, 2007
- Last Updated
- Mar 25, 2009
Practice Location
- Address
- 710 E COLORADO ST
- Address 2
- SUITE A
- City
- Glendale
- State
- California
- ZIP Code
- 91205-1712
- Phone
- (818) 956-6101
Authorized Official
- Name
- MRS. MARIE LOUISE B TABORA, DDS
- Title
- PRESIDENT
- Phone
- (818) 956-6101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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