| G.r. Tashiro Dds, Inc | |
|
21001 Covello St Canoga Park CA 91303-1403 | |
| (562) 644-9007 | |
| (323) 443-3904 |
| Full Name | G.r. Tashiro Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 21001 Covello St, Canoga Park, California |
| Authorized Official Name and Position | George Robert Tashiro (OWNER) |
| Authorized Official Contact | 5626449007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G.r. Tashiro Dds, Inc 21001 Covello St Canoga Park CA 91303-1403 Ph: (562) 644-9007 | G.r. Tashiro Dds, Inc 21001 Covello St Canoga Park CA 91303-1403 Ph: (562) 644-9007 |
| NPI Number | 1790925535 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790925535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23388 (California) | Primary |
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