Individual provider · Type 1 NPI

Theodore A. Tanabe, DDS

Oral and Maxillofacial Surgery (Dentist) · Whittier, CA

NPI number 1982625372 Active

Practice location

13203 Hadley St, 101
Whittier, CA 90601-4519

Fax (562) 696-7677

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X39716 (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 1982625372

Theodore A. Tanabe, DDS's National Provider Identifier is 1982625372, issued on Jul 21, 2006. 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 May 3, 2011.