Jason H. Ta, Dmd, Inc.

NPI #1356810758 in Lawndale, California

Provider Information

NPI Number
1356810758
Entity Type
Organization
Organization Name
Jason H. Ta, Dmd, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
JASON H. TA, DMD, INC.
Primary Specialty
Dentist
Enumeration Date
Nov 15, 2018
Last Updated
Nov 15, 2018

Practice Location

Address
16709 HAWTHORNE BLVD.
ZIP Code
90260
Phone
(310) 592-5558

Authorized Official

Name
MR. JASON H. TA, D.M.D.
Title
PRESIDENT/OWNER
Phone
(310) 542-5558

Specialties & Taxonomy Codes

Specialty
Dentist

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