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101 W Imperial Hwy Ste E Brea CA 92821-7902 | |
| (800) 898-1355 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 W Imperial Hwy, Brea, California |
| Authorized Official Name and Position | Dennis R Fratt (OWNER) |
| Authorized Official Contact | 7144281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 W Imperial Hwy Ste E Brea CA 92821-7902 Ph: (800) 898-1355 | 101 W Imperial Hwy Ste E Brea CA 92821-7902 Ph: (800) 898-1355 |
| NPI Number | 1588979496 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588979496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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