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701 S Raymond Ave Ste 4b Fullerton CA 92831-5201 | |
| (714) 992-2999 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 701 S Raymond Ave Ste 4b, Fullerton, California |
| Authorized Official Name and Position | Thomas Aaron Lovinger (OWNER) |
| Authorized Official Contact | 8477789527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
701 S Raymond Ave Ste 4b Fullerton CA 92831-5201 Ph: (714) 992-2999 | 701 S Raymond Ave Ste 4b Fullerton CA 92831-5201 Ph: (714) 992-2999 |
| NPI Number | 1114454287 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114454287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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