Provider Demographics
NPI:1750398301
Name:TAORMINA, WILLIAM JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:TAORMINA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NORTH CENTRAL AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1902
Mailing Address - Country:US
Mailing Address - Phone:818-240-7040
Mailing Address - Fax:818-240-1440
Practice Address - Street 1:500 NORTH CENTRAL AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1902
Practice Address - Country:US
Practice Address - Phone:818-240-7040
Practice Address - Fax:818-240-1440
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22678122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist