MEDICARE: MARIA E TAPIA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	49226	CA

General Provider Information

NPI Number	:	1083715700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA E TAPIA DDS

Provider Business Mailing Address
First Line	:	881 ALMA REAL DR
Second Line	:	SUITE 205A
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-3731
Country	:	US
Telephone Number	:	310-454-0912
Fax Number	:

Provider Business Practice Location Address
First Line	:	881 ALMA REAL DR
Second Line	:	SUITE 205A
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-3731
Country	:	US
Telephone Number	:	310-454-0912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	06/18/2014

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