Individual
DR. THEODORE A TANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13203 HADLEY ST, 101, WHITTIER, CA 90601-4519
(562) 698-0387
(562) 696-7677
Mailing address
13203 HADLEY ST, 101, WHITTIER, CA 90601-4519
(562) 698-0387
(562) 696-7677
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39716
CA
Other
Enumeration date
07/21/2006
Last updated
05/03/2011
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