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Organization
PHILIP TAGATAC DMD INC
Active
Organization
PHILIP TAGATAC DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TAGATAC (PRESIDENT/SECRETARY/TREASURER)
(949) 322-7138
Entity
Organization
Contact information
Practice address
2015 N WATERMAN AVE STE B, SAN BERNARDINO, CA 92404-4810
(909) 713-2077
Mailing address
26446 SANDY CRK, LAKE FOREST, CA 92630-5627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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