# DR. BRUCE TABER D.D.S INC

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

## Provider details

- **NPI number:** 1538368154
- **Authorized official:** DR. BRUCE LEE TABER D.D.S (DENTIST)
- **Authorized official phone:** (909) 796-2299

## Contact information

- **Practice address:** 11175 MOUNTAIN VIEW AVE, SUITE N, LOMA LINDA, CA 92354-3865
- **Practice address phone:** (909) 796-2299
- **Practice address fax:** (909) 796-2509
- **Mailing address:** 11175 MOUNTAIN VIEW AVE, SUITE N, LOMA LINDA, CA 92354-3865
- **Mailing address phone:** (909) 796-2299
- **Mailing address fax:** (909) 796-2509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 34906 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 07/13/2007