Organization
FAWZY TADROS DDS.INC
Active
Other names
Saint Mina family dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAWZY TADROS DDS (OWNER)
(818) 364-1991
Entity
Organization
Contact information
Practice address
12601 SAN FERNANDO RD STE H, SYLMAR, CA 91342-7733
(818) 364-1991
Mailing address
12601 SAN FERNANDO RD STE H, SYLMAR, CA 91342-7733
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49677
CA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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