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Organization
TABIB DENTAL CORPORATION
Active
Organization
TABIB DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMRAN TABIB D.D.S., F.A.G.D. (PRESIDENT)
(818) 705-0200
Entity
Organization
Contact information
Practice address
6900 RESEDA BLVD, STE#C, RESEDA, CA 91335
(818) 705-0200
(818) 705-7430
Mailing address
6900 RESEDA BLVD, STE#C, RESEDA, CA 91335
(818) 705-0200
(818) 705-7430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45203
CA
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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