| Carlos Fernando Dental Corporation | |
|
999 N Tustin Ave Ste 9&10 Santa Ana CA 92705-3528 | |
| (714) 856-7135 | |
| (714) 960-3309 |
| Full Name | Carlos Fernando Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 999 N Tustin Ave Ste 9&10, Santa Ana, California |
| Authorized Official Name and Position | Lupe A Gome (ADMINISTRATOR) |
| Authorized Official Contact | 7148567135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Fernando Dental Corporation 9151 Atlanta Ave Unit 7891 Huntington Beach CA 92615-2613 Ph: (714) 856-7135 | Carlos Fernando Dental Corporation 999 N Tustin Ave Ste 9&10 Santa Ana CA 92705-3528 Ph: (714) 856-7135 |
| NPI Number | 1558835496 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558835496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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