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1937 Dana Pl Fullerton CA 92831-1216 | |
| (412) 298-5460 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1937 Dana Pl, Fullerton, California |
| Authorized Official Name and Position | Teena Wali (OWNER) |
| Authorized Official Contact | 4122985460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1937 Dana Pl Fullerton CA 92831-1216 Ph: (412) 298-5460 | 1937 Dana Pl Fullerton CA 92831-1216 Ph: (412) 298-5460 |
| NPI Number | 1952136459 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952136459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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