# DENTAL STUDIO OF PASADENA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205231222
- **Authorized official:** DR. JAIME ARTURO TOBON DDS (DENTIST)
- **Authorized official phone:** (626) 431-2930

## Contact information

- **Practice address:** 2270 E COLORADO BLVD, PASADENA, CA 91107-3656
- **Practice address phone:** (626) 431-2930
- **Practice address fax:** (626) 431-2932
- **Mailing address:** 2270 E COLORADO BLVD, PASADENA, CA 91107-3656
- **Mailing address phone:** (626) 431-2930
- **Mailing address fax:** (626) 431-2932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 63324 | CA | Yes |

## Other

- **Enumeration date:** 11/03/2014
- **Last updated:** 11/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 63324 | — | CA |