THEODORE A TANABE DDS A PROFESSIONAL CORPORATION NPI 1730489014

NPI Information

THEODORE A TANABE DDS A PROFESSIONAL CORPORATION is an oral and maxillofacial surgery dentist in Whittier, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. THEODORE A TANABE DDS A PROFESSIONAL CORPORATION NPI is 1730489014. The provider is registered as an organization entity type.

The provider's business location address is:

13203 HADLEY STREET
SUITE 101
WHITTIER, CA
ZIP 90601
Phone: (562) 698-0387
Fax: (562) 696-7677

The provider's authorized official is Theodore A Tanabe .
The authorized official title is President and has the following contact phone number (562) 698-0387.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 12/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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