Individual
DR. DIANE CHIE TARICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 906, LOS ANGELES, CA 90049
(310) 207-5700
(310) 207-5710
Mailing address
11980 SAN VICENTE BLVD, SUITE 906, LOS ANGELES, CA 90049
(310) 207-5700
(310) 207-5710
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
44449
CA
Other
Enumeration date
08/29/2006
Last updated
02/07/2011
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