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Organization
G.R. TASHIRO DDS, INC
Active
Organization
G.R. TASHIRO DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ROBERT TASHIRO D.D.S. (OWNER)
(562) 644-9007
Entity
Organization
Contact information
Practice address
21001 COVELLO ST, CANOGA PARK, CA 91303-1403
(562) 644-9007
(323) 443-3904
Mailing address
21001 COVELLO ST, CANOGA PARK, CA 91303-1403
(562) 644-9007
(323) 443-3904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23388
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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