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Organization
TAMAYO INC & LASCOE INC DENTAL PARTNERSHIP
Active
Organization
TAMAYO INC & LASCOE INC DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE TAMAYO D.D.S. (PARTNER/DENTIST)
(323) 233-9400
Entity
Organization
Contact information
Practice address
4400 S BROADWAY STE #103, LOS ANGELES, CA 90037
(323) 233-9400
(323) 233-9944
Mailing address
4400 S BROADWAY STE #103, LOS ANGELES, CA 90037
(323) 233-9400
(323) 233-9944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52474
CA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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