Lisa B Tabora Dds Inc

NPI 1255548871 - Dentist - 1223G0001X

NPI Details
NPI 1255548871
Enumeration Date 05/16/2007
Last Updated 03/25/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARIE LOUISE B MARIE LOUISE
Position PRESIDENT
Phone (818) 956-6101
Fax (818) 956-6156
Practice Location
710 E COLORADO ST
SUITE A
GLENDALE CA, 91205-1712, US
Phone (818) 956-6101
Fax (818) 956-6156
Business Location
710 E COLORADO ST
SUITE A
GLENDALE CA, 91205-1712, US
Phone (818) 956-6101
Fax (818) 956-6156
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 42429
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According to our database, Lisa B Tabora Dds Inc NPI is 1255548871, taxonomy code is 1223G0001X and license number is 42429, license state is located at California. Lisa B Tabora Dds Inc physically located at 710 E Colorado St, Glendale CA, 91205-1712. NPI Number 1033115704 has the healthcare provider type.

1255548871 NPI number is provided on an as is basis without warranty of any kind. 1255548871 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa B Tabora Dds Inc are for informational purposes only.