Theodore A Tanabe Dds A Professional Corporation Valid NPI

Organization · Oral and Maxillofacial Surgery (Dentist) · Whittier, CA

NPI

1730489014

Type

Organization (Type 2)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

39716 (CA)

Enumerated

2010-11-02

Last updated

2017-12-26