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Organization
GEORGE J. TAO, DDS, INC.
Active
Organization
GEORGE J. TAO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JI-JUN TAO DDS (PRESIDENT/GENERAL DENTIST)
(909) 987-4113
Entity
Organization
Contact information
Practice address
6626 CARNELIAN ST, ALTA LOMA, CA 91701-4515
(909) 987-4113
(909) 987-3673
Mailing address
6626 CARNELIAN ST, ALTA LOMA, CA 91701-4515
(909) 987-4113
(909) 987-3673
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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