| Allegra Dental | |
|
12791 Newport Ave Suite 100 Tustin CA 92780-2751 | |
| (714) 832-8000 | |
| Not Available |
| Full Name | Allegra Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12791 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Andrew-sunjun Kim (PRESIDENT) |
| Authorized Official Contact | 3107385525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegra Dental 12791 Newport Ave Suite 100 Tustin CA 92780-2751 Ph: (714) 832-8000 | Allegra Dental 12791 Newport Ave Suite 100 Tustin CA 92780-2751 Ph: (714) 832-8000 |
| NPI Number | 1639504749 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639504749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62018 (California) | Primary |
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