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Dr. Enrique Tamayo, DDS
General Practice Dentistry in Los Angeles, California
NPI 1811033699

Enrique Tamayo is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Enrique Tamayo practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Enrique Tamayo is 1811033699 and holds a License No. 52474 (California).

The current practice location address for Enrique Tamayo is 4400 S Broadway Ste 103, Los Angeles, CA and can be reached out via phone at 323-233-9400 and via fax at 323-233-9977.

Location: 4400 S Broadway Ste 103, Los Angeles, CA, 90037-2792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811033699
Provider Name
Enrique Tamayo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4400 S Broadway Ste 103, Los Angeles, CA, 90037-2792
Phone Number
323-233-9400
Fax Number
323-233-9977
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D52474 05 CA
institution
Provider Business Practice Location Address Details
Address
4400 S Broadway Ste 103
City
Los Angeles
State
California
Zip
90037-2792
Phone Number
323-233-9400
Fax Number
323-233-9977
person
Provider Business Mailing Address Details
Address
4400 S Broadway Ste 103
City
Los Angeles
State
California
Zip
90037-2792
Phone Number
323-233-9400
Fax Number
323-233-9977
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
52474 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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