| Michael Tasic Dds A Professional Corporation | |
|
8781 Van Nuys Blvd Panorama City CA 91402-2401 | |
| (818) 672-8289 | |
| Not Available |
| Full Name | Michael Tasic Dds A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8781 Van Nuys Blvd, Panorama City, California |
| Authorized Official Name and Position | Michael Tasic (PRESIDENT) |
| Authorized Official Contact | 8186244326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Tasic Dds A Professional Corporation 19000 Hawthorne Blvd Torrance CA 90503-1517 Ph: (818) 624-4326 | Michael Tasic Dds A Professional Corporation 8781 Van Nuys Blvd Panorama City CA 91402-2401 Ph: (818) 672-8289 |
| NPI Number | 1265617765 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265617765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27932 (California) | Primary |
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