| Lytle, Tate & Stamper, A Dental Corporation | |
|
1370 Foothill Blvd Suite 200 La Canada CA 91011-2150 | |
| (818) 952-8183 | |
| (818) 952-6437 |
| Full Name | Lytle, Tate & Stamper, A Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1370 Foothill Blvd, La Canada, California |
| Authorized Official Name and Position | Cheryl A Zakarian (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8189528183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lytle, Tate & Stamper, A Dental Corporation 1370 Foothill Blvd Suite 200 La Canada CA 91011-2150 Ph: (818) 952-8183 | Lytle, Tate & Stamper, A Dental Corporation 1370 Foothill Blvd Suite 200 La Canada CA 91011-2150 Ph: (818) 952-8183 |
| NPI Number | 1013126648 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013126648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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