| Ayala Arizmendi Dental Corporation | |
|
624 S Euclid St Anaheim CA 92802-1234 | |
| (714) 774-3000 | |
| (714) 776-9000 |
| Full Name | Ayala Arizmendi Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 624 S Euclid St, Anaheim, California |
| Authorized Official Name and Position | Marcela Dolores Ayala Arizmendi (DENTIST) |
| Authorized Official Contact | 7147743000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayala Arizmendi Dental Corporation 624 S Euclid St Anaheim CA 92802-1234 Ph: (714) 774-3000 | Ayala Arizmendi Dental Corporation 624 S Euclid St Anaheim CA 92802-1234 Ph: (714) 774-3000 |
| NPI Number | 1093266785 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093266785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49794 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 61047 (California) | Primary |
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