Family Orthodontics & Oral Surgery | |
535 E Main St Ste A Tustin CA 92780-4453 | |
(714) 544-0200 | |
(714) 509-1517 |
Full Name | Family Orthodontics & Oral Surgery |
---|---|
Speciality | Clinic/center - Dental |
Location | 535 E Main St Ste A, Tustin, California |
Authorized Official Name and Position | Dean Azzeh (PRESIDENT/OWNER) |
Authorized Official Contact | 7145440200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Orthodontics & Oral Surgery 535 E Main St Ste A Tustin CA 92780-4453 Ph: (714) 544-0200 | Family Orthodontics & Oral Surgery 535 E Main St Ste A Tustin CA 92780-4453 Ph: (714) 544-0200 |
NPI Number | 1669077749 |
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Provider Enumeration Date | 12/04/2020 |
Last Update Date | 02/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669077749 | NPI | - | NPPES |
1669670931 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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