Mario Ea Wa Tai in Irvine - Orthodontics And Dentofacial Orthopedics

Mario Ea Wa Tai - NPI 1962693283

Mario Ea Wa Tai is a Orthodontics And Dentofacial Orthopedics in Irvine, California. Mario Ea Wa Tai practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mario Ea Wa Tai is 1962693283. The last update date is 2012-10-12.

Mario Ea Wa Tai's current location address is 2803 Ladrillo Aisle, Irvine, California. You can contact this provider via phone number 6467083709 and fax number 9498619889. The mailing address for Mario Ea Wa Tai is 2803 Ladrillo Aisle, Irvine, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mario Ea Wa Tai
Address 2803 Ladrillo Aisle, Irvine, California
Phone Number 6467083709
Fax Number 9498619889
Sole Proprietor N
Credentials D.M.D., D.

NPI Number Detail

NPI Number 1962693283
Provider Enumeration Date 2007-08-05
Last Updated Date 2012-10-12

Provider Mailing Address Detail

Address 2803 Ladrillo Aisle
City Irvine
State California (CA)
Post Code 926068819
Phone Number 6467083709
Fax Number 9498619889

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 53735
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Mario Ea Wa Tai

What is the unique identification code assigned to Mario Ea Wa Tai by the Centers for Medicare & Medicaid Services?

The Mario Ea Wa Tai has been issued the NPI (National Provider Identifier) 1962693283. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mario Ea Wa Tai's facilities are geographically located?

The facilities of Mario Ea Wa Tai are physically situated at the following location: 2803 Ladrillo Aisle, Irvine, CA, 926068819.

What is the Mario Ea Wa Tai's specialty and taxonomy code?

The Mario Ea Wa Tai's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1962693283 to Mario Ea Wa Tai?

The Mario Ea Wa Tai received its 1962693283 assignment from the Centers for Medicare & Medicaid Services on 2007-08-05.

When was the information related to Mario Ea Wa Tai most recently updated or refreshed?

The details pertaining to the Mario Ea Wa Tai, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-12.

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