| Mario E. Tai, D.m.d., D.m.sc., Inc. | |
|
18250 Roscoe Blvd Suite 315 Northridge CA 91325-4226 | |
| (818) 885-8650 | |
| (818) 885-7169 |
| Full Name | Mario E. Tai, D.m.d., D.m.sc., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18250 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Mario E Tai (PRESIDENT) |
| Authorized Official Contact | 8188858650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario E. Tai, D.m.d., D.m.sc., Inc. 18250 Roscoe Blvd Suite 315 Northridge CA 91325-4226 Ph: (818) 885-8650 | Mario E. Tai, D.m.d., D.m.sc., Inc. 18250 Roscoe Blvd Suite 315 Northridge CA 91325-4226 Ph: (818) 885-8650 |
| NPI Number | 1699041798 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699041798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 53735 (California) | Primary |
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