G.R. Tashiro DDS, INC
Dentist in Canoga Park, CA. Organization (NPI-2).
NPI number1790925535
StatusActive
Last updated in NPPESMar 5, 2009
Details
- NPI
- 1790925535
- Entity type
- Organization (NPI-2)
- Legal business name
- G.R. Tashiro DDS, INC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2009
- Last updated
- Mar 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 23388 | CA | Yes |
Practice location
21001 Covello StCanoga Park, CA 91303-1403
Phone 562-644-9007 · Fax 323-443-3904
Mailing address
21001 Covello StCanoga Park, CA 91303-1403
Phone 562-644-9007 · Fax 323-443-3904
Authorized official
George Robert Tashiro
Owner
5626449007
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