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NPI Code Detail

MEDICARE: DR. EMILIA TOLARBA HERNANDEZ DDS

MEDICARE: DR. EMILIA TOLARBA HERNANDEZ 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
11223G0001XGeneral Practice Dentistry38694CA
2124Q00000XDental Hygienist38694CA

General Provider Information

NPI Number : 1134316128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILIA TOLARBA HERNANDEZ DDS
Provider Business Mailing Address
First Line : 1483 E PLAZA BLVD
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-3613
Country : US
Telephone Number : 619-474-6858
Fax Number : 619-474-6858
Provider Business Practice Location Address
First Line : 1483 E PLAZA BLVD
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-3613
Country : US
Telephone Number : 619-474-6858
Fax Number : 619-474-6858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 10/03/2007

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Directions to “ DR. EMILIA TOLARBA HERNANDEZ DDS” Practice Location

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