Revadee Tan Veranunt in Los Angeles - Dentist
Revadee Tan Veranunt - NPI 1043426976
Revadee Tan Veranunt is a Dentist in Los Angeles, California. Revadee Tan Veranunt practices all healthcare services and medical treatments related to Dentist. The NPI Number for Revadee Tan Veranunt is 1043426976. The last update date is 2007-07-08.
Revadee Tan Veranunt's current location address is 5065 Hollywood Blvd, Los Angeles, California. You can contact this provider via phone number 3236669881 and fax number 3236669881. The mailing address for Revadee Tan Veranunt is 5065 Hollywood Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Revadee Tan Veranunt |
|---|---|
| Address | 5065 Hollywood Blvd, Los Angeles, California |
| Phone Number | 3236669881 |
| Fax Number | 3236669881 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1043426976 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5065 Hollywood Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900276133 |
| Phone Number | 3236669881 |
| Fax Number | 3236669881 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 36120 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Revadee Tan Veranunt by the Centers for Medicare & Medicaid Services?
The Revadee Tan Veranunt has been assigned the NPI (National Provider Identifier) 1043426976 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Revadee Tan Veranunt's facilities are geographically located?
The facilities of Revadee Tan Veranunt are physically situated at the following location: 5065 Hollywood Blvd, Los Angeles, CA, 900276133.
What is the Revadee Tan Veranunt's specialty and taxonomy code?
The Revadee Tan Veranunt's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Revadee Tan Veranunt receive its 1043426976?
The Revadee Tan Veranunt was issued its 1043426976 on 2007-05-15, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Revadee Tan Veranunt most recently updated or revised?
The details related to Revadee Tan Veranunt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC