| Andrew Spath Dds, Inc | |
|
2121 E Coast Hwy Ste 290 Corona Del Mar CA 92625-1940 | |
| (949) 612-2356 | |
| (949) 544-5207 |
| Full Name | Andrew Spath Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2121 E Coast Hwy Ste 290, Corona Del Mar, California |
| Authorized Official Name and Position | Andrew Spath (OWNER) |
| Authorized Official Contact | 9496122356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Spath Dds, Inc 2121 E Coast Hwy Ste 290 Corona Del Mar CA 92625-1940 Ph: (949) 612-2356 | Andrew Spath Dds, Inc 2121 E Coast Hwy Ste 290 Corona Del Mar CA 92625-1940 Ph: (949) 612-2356 |
| NPI Number | 1194388231 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194388231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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