Tai, Mario Ea Wa
Tai, Mario Ea Wa is an individual health care provider with primary practice located at 4050 Barranca Pkwy Suite 220, Irvine CA 92604-7706. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Tai, Mario Ea Wa can be contacted via phone (646) 708-3709.Contact Information
Primary practice address
4050 Barranca Pkwy Suite 220
Irvine CA 92604-7706
Phone: (646) 708-3709
Fax: (949) 861-9889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 53735 | California |
Profile Details
| NPI number | 1962693283 |
|---|---|
| LBN Legal business name | Tai, Mario Ea Wa |
| Credentials | D.M.D., D.M.SC. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Oct 12th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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