Organization
MARIO E. TAI, D.M.D., D.M.SC., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO E TAI D.M.D. (PRESIDENT)
(818) 885-8650
Entity
Organization
Contact information
Practice address
18250 ROSCOE BLVD, SUITE 315, NORTHRIDGE, CA 91325-4226
(818) 885-8650
(818) 885-7169
Mailing address
18250 ROSCOE BLVD, SUITE 315, NORTHRIDGE, CA 91325-4226
(818) 885-8650
(818) 885-7169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53735
CA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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