| Allure Dental Spa | |
|
17400 Irvine Blvd Ste E Tustin CA 92780-3030 | |
| (714) 371-0776 | |
| (714) 371-0179 |
| Full Name | Allure Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17400 Irvine Blvd Ste E, Tustin, California |
| Authorized Official Name and Position | Kanthi J Appannagari (CEO/GENERAL DENTIST) |
| Authorized Official Contact | 7143710776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allure Dental Spa 17400 Irvine Blvd Ste E Tustin CA 92780-3030 Ph: (714) 371-0776 | Allure Dental Spa 17400 Irvine Blvd Ste E Tustin CA 92780-3030 Ph: (714) 371-0776 |
| NPI Number | 1255649729 |
|---|---|
| Provider Enumeration Date | 09/18/2010 |
| Last Update Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255649729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44286 (California) | Primary |
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