Thomas Edward Tate D.D.S.

NPI 1922104181 - Dentist - 1223S0112X

NPI Details
NPI 1922104181
Gender Male
Enumeration Date 09/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1370 FOOTHILL BLVD
SUITE 200
LA CANADA CA, 91011-2150, US
Phone (818) 952-8183
Fax (818) 952-6437
Business Location
1370 FOOTHILL BLVD
SUITE 200
LA CANADA CA, 91011-2150, US
Phone (818) 952-8183
Fax (818) 952-6437
Toxanomy
Taxonomy Code 1223S0112X
License State California
License Number 17787
Remove 1922104181 NPI Number
 

According to our database, Thomas Edward Tate D.D.S. NPI is 1922104181, taxonomy code is 1223S0112X and license number is 17787, license state is located at California. Thomas Edward Tate D.D.S. physically located at 1370 Foothill Blvd, La Canada CA, 91011-2150. NPI Number Thomas Edward Tate D.D.S. has the Individual type.

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1922104181 NPI number is provided on an as is basis without warranty of any kind. 1922104181 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Edward Tate D.D.S. are for informational purposes only.