Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LISA B TABORA DDS INC
Active
Organization
LISA B TABORA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE LOUISE B TABORA DDS (PRESIDENT)
(818) 956-6101
Entity
Organization
Contact information
Practice address
710 E COLORADO ST, SUITE A, GLENDALE, CA 91205-1712
(818) 956-6101
(818) 956-6156
Mailing address
710 E COLORADO ST, SUITE A, GLENDALE, CA 91205-1712
(818) 956-6101
(818) 956-6156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42429
MEDICAL
CA
Enumeration date
05/16/2007
Last updated
03/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up