David a Tabata D D S INC

NPI #1285709824 in Laverne, California

Provider Information

NPI Number
1285709824
Entity Type
Organization
Organization Name
David a Tabata D D S INC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Nov 21, 2006
Last Updated
Mar 22, 2012

Practice Location

Address
1413 FOOTHILL BLVD
Address 2
STE B
ZIP Code
91750
Phone
(909) 596-1833

Authorized Official

Name
MR. DAVID A TABATA, DDS
Title
OWNER
Phone
(909) 596-1831

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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