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:
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Health care specialties

SpecialtyCodeLicense #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 13 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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