E M TASH DDS PC NPI 1275068025

NPI Information

NPI: 1275068025
Provider Name: E M TASH DDS PC

Doing Business As: LA PUENTE DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
864 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744
Phone: (626) 333-8166
Get Directions

E M TASH DDS PC is a dental clinic center in La Puente, CA. E M TASH DDS PC NPI is 1275068025. The provider is registered as an organization entity type.
The provider Is Doing Business As La Puente Dental Group.

The provider's business location address is:

864 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744-847
Phone: (626) 333-8166
Fax: (626) 333-9879

The provider's authorized official is Edmond Tash .
The authorized official title is President and has the following contact phone number (626) 333-8166.

The enumeration date for this NPI number is 4/28/2017 and was last updated on 6/20/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305R00000X	Preferred Provider Organization		47422	CALIFORNIA	No
2	261QD0000X	Clinic/Center	Dental	47422	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	CALIFORNIA	EIN NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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