Provider Demographics
NPI:1417032467
Name:TABAKMAN, VLADIMIR Y (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:Y
Last Name:TABAKMAN
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:1510 ELDRIDGE PKWY
Mailing Address - Street 2:SUITE 114
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1760
Mailing Address - Country:US
Mailing Address - Phone:281-752-4222
Mailing Address - Fax:281-752-4544
Practice Address - Street 1:1510 ELDRIDGE PKWY
Practice Address - Street 2:SUITE 114
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1760
Practice Address - Country:US
Practice Address - Phone:281-752-4222
Practice Address - Fax:281-752-4544
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX221011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics