Organization
MICHAEL TASIC DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TASIC DDS (PRESIDENT)
(818) 624-4326
Entity
Organization
Contact information
Practice address
8781 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 672-8289
Mailing address
19000 HAWTHORNE BLVD, TORRANCE, CA 90503-1517
(818) 624-4326
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27932
CA
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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