Tabib Dental Corporation | |
6900 Reseda Blvd Ste#c Reseda CA 91335 | |
(818) 705-0200 | |
(818) 705-7430 |
Full Name | Tabib Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 6900 Reseda Blvd, Reseda, California |
Authorized Official Name and Position | Kamran Tabib (PRESIDENT) |
Authorized Official Contact | 8187050200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tabib Dental Corporation 6900 Reseda Blvd Ste#c Reseda CA 91335 Ph: (818) 705-0200 | Tabib Dental Corporation 6900 Reseda Blvd Ste#c Reseda CA 91335 Ph: (818) 705-0200 |
NPI Number | 1942603709 |
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Provider Enumeration Date | 10/07/2014 |
Last Update Date | 10/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942603709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 45203 (California) | Primary |
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