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20429 Yorba Linda Blvd Yorba Linda CA 92886-3042 | |
| (714) 695-9530 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 20429 Yorba Linda Blvd, Yorba Linda, California |
| Authorized Official Name and Position | Velia Fuentes (OFFICE MANAGER) |
| Authorized Official Contact | 7146959530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20429 Yorba Linda Blvd Yorba Linda CA 92886-3042 Ph: (714) 695-9530 | 20429 Yorba Linda Blvd Yorba Linda CA 92886-3042 Ph: (714) 695-9530 |
| NPI Number | 1144611211 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144611211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44744 (California) | Primary |
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