Provider Demographics
NPI:1538389952
Name:LABRIOLA, JAMES M (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:LABRIOLA
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 1:350 S LAKE AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3530
Mailing Address - Country:US
Mailing Address - Phone:626-449-2231
Mailing Address - Fax:626-449-1011
Practice Address - Street 1:350 S LAKE AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3530
Practice Address - Country:US
Practice Address - Phone:626-449-2231
Practice Address - Fax:626-449-1011
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice