| K Muhammad Tajsar Dds Ink | |
|
10913 Venice Blvd Los Angeles CA 90034-7009 | |
| (310) 558-8123 | |
| (310) 558-8129 |
| Full Name | K Muhammad Tajsar Dds Ink |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10913 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Kazem M Baker (OFFICER) |
| Authorized Official Contact | 3105588123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Muhammad Tajsar Dds Ink 10913 Venice Blvd Los Angeles CA 90034-7009 Ph: (310) 558-8123 | K Muhammad Tajsar Dds Ink 10913 Venice Blvd Los Angeles CA 90034-7009 Ph: (310) 558-8123 |
| NPI Number | 1437274743 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437274743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43468 (California) | Primary |
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