Individual
DR. ALONZO LETO TABADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
(215) 677-0380
Mailing address
451 RHAWN ST UNIT 204, PHILADELPHIA, PA 19111-2454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045510
PA
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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