| Tamayo Inc & Lascoe Inc Dental Partnership | |
|
4400 S Broadway Ste #103 Los Angeles CA 90037 | |
| (323) 233-9400 | |
| (323) 233-9944 |
| Full Name | Tamayo Inc & Lascoe Inc Dental Partnership |
|---|---|
| Speciality | Dentist |
| Location | 4400 S Broadway Ste #103, Los Angeles, California |
| Authorized Official Name and Position | Enrique Tamayo (PARTNER/DENTIST) |
| Authorized Official Contact | 3232339400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamayo Inc & Lascoe Inc Dental Partnership 4400 S Broadway Ste #103 Los Angeles CA 90037 Ph: (323) 233-9400 | Tamayo Inc & Lascoe Inc Dental Partnership 4400 S Broadway Ste #103 Los Angeles CA 90037 Ph: (323) 233-9400 |
| NPI Number | 1134637150 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134637150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52474 (California) | Primary |
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