Lisa B Tabora Dds Inc | |
710 E Colorado St Suite A Glendale CA 91205-1712 | |
(818) 956-6101 | |
(818) 956-6156 |
Full Name | Lisa B Tabora Dds Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 710 E Colorado St, Glendale, California |
Authorized Official Name and Position | Marie Louise B Tabora (PRESIDENT) |
Authorized Official Contact | 8189566101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lisa B Tabora Dds Inc 710 E Colorado St Suite A Glendale CA 91205-1712 Ph: (818) 956-6101 | Lisa B Tabora Dds Inc 710 E Colorado St Suite A Glendale CA 91205-1712 Ph: (818) 956-6101 |
NPI Number | 1255548871 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 03/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255548871 | NPI | - | NPPES |
B42429 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42429 (California) | Primary |
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