Denteractive Solutions Inc. | |
22982 El Toro Rd Ste 100 Lake Forest CA 92630-4919 | |
(949) 305-0202 | |
(949) 305-0203 |
Full Name | Denteractive Solutions Inc. |
---|---|
Speciality | Dentist |
Location | 22982 El Toro Rd Ste 100, Lake Forest, California |
Authorized Official Name and Position | Reza Izadi (CEO) |
Authorized Official Contact | 9492906950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Denteractive Solutions Inc. 23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 Ph: (888) 574-7754 | Denteractive Solutions Inc. 22982 El Toro Rd Ste 100 Lake Forest CA 92630-4919 Ph: (949) 305-0202 |
NPI Number | 1265187975 |
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Provider Enumeration Date | 02/21/2022 |
Last Update Date | 02/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265187975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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