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1033832019
PHILIP TAGATAC
LAKE FOREST, CA
NPI
1033832019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 108138)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
Dr. PHILIP TAGATAC DMD
26446 SANDY CRK
LAKE FOREST, CA 92630-5627
Phone number: 949-322-7138
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Mailing Address
Dr. PHILIP TAGATAC DMD
26446 SANDY CRK
LAKE FOREST, CA 92630-5627
Phone number: 949-322-7138
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