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1831561836
DAVID TABATA
LA VERNE, CA
NPI
1831561836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 26542)
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
Dr. DAVID TABATA DDS
1413 FOOTHILL BLVD STE B
LA VERNE, CA 91750-3418
Phone number: 909-596-1831
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Mailing Address
Dr. DAVID TABATA DDS
1413 FOOTHILL BLVD STE B
LA VERNE, CA 91750-3418
Phone number: 909-596-1831
Copy
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