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Organization
JASON H. TA, DMD, INC.
Active
Organization
JASON H. TA, DMD, INC.
Active
Parent organization
JASON H. TA, DMD, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JASON H. TA, DMD, INC.
Authorized official
MR. JASON H. TA D.M.D. (PRESIDENT/OWNER)
(310) 542-5558
Entity
Organization
Contact information
Practice address
16709 HAWTHORNE BLVD., LAWNDALE, CA 90260
(310) 592-5558
(310) 542-4309
Mailing address
16709 HAWTHORNE BLVD., LAWNDALE, CA 90260
(310) 592-5558
(310) 542-4309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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