Organization · Type 2 NPI

Theodore A Tanabe DDS A Professional Corporation

Oral and Maxillofacial Surgery (Dentist) · Whittier, CA

NPI number 1730489014 Active

Practice location

13203 Hadley Street, Suite 101
Whittier, CA 90601

Fax (562) 696-7677

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X39716 (CA)
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X39716 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1730489014

Theodore A Tanabe DDS A Professional Corporation's National Provider Identifier is 1730489014, issued on Nov 2, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Whittier, CA. The record was last updated on Dec 26, 2017.