| Dental 4 | |
|
102 E 4th St Fl 2 Santa Ana CA 92701-4602 | |
| (714) 558-1464 | |
| (714) 558-2971 |
| Full Name | Dental 4 |
|---|---|
| Speciality | Dentist |
| Location | 102 E 4th St Fl 2, Santa Ana, California |
| Authorized Official Name and Position | Jorge Enrique Vital (OWNER) |
| Authorized Official Contact | 7145581464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 4 102 E 4th St Fl 2 Santa Ana CA 92701-4602 Ph: (714) 558-1464 | Dental 4 102 E 4th St Fl 2 Santa Ana CA 92701-4602 Ph: (714) 558-1464 |
| NPI Number | 1669868253 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669868253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49701 (California) | Primary |
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