| Jason H. Ta, Dmd, Inc. | |
|
16709 Hawthorne Blvd. Lawndale CA 90260 | |
| (310) 592-5558 | |
| (310) 542-4309 |
| Full Name | Jason H. Ta, Dmd, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 16709 Hawthorne Blvd., Lawndale, California |
| Authorized Official Name and Position | Jason H. Ta (PRESIDENT/OWNER) |
| Authorized Official Contact | 3105425558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason H. Ta, Dmd, Inc. 16709 Hawthorne Blvd. Lawndale CA 90260 Ph: (310) 592-5558 | Jason H. Ta, Dmd, Inc. 16709 Hawthorne Blvd. Lawndale CA 90260 Ph: (310) 592-5558 |
| NPI Number | 1356810758 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356810758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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