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Organization
ENMER I TADEO DDS INC
Active
Organization
ENMER I TADEO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENMER I TADEO DDS (PRESIDENT)
(714) 761-7000
Entity
Organization
Contact information
Practice address
2873 W LINCOLN AVE, ANAHEIM, CA 92801-6226
(714) 761-7000
(714) 761-3900
Mailing address
2873 W LINCOLN AVE, ANAHEIM, CA 92801-6226
(714) 761-7000
(714) 761-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56591
CA
Other
Enumeration date
02/04/2014
Last updated
01/31/2019
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