| Joseph Mina Atalla Dds Inc | |
|
801 N Tustin Ave 708 Santa Ana CA 92705-3612 | |
| (714) 285-0500 | |
| (714) 285-0501 |
| Full Name | Joseph Mina Atalla Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 801 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Joseph Mina Atalla (PRACTICE OWNER) |
| Authorized Official Contact | 7142850500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Mina Atalla Dds Inc 801 N Tustin Ave 708 Santa Ana CA 92705-3612 Ph: (714) 285-0500 | Joseph Mina Atalla Dds Inc 801 N Tustin Ave 708 Santa Ana CA 92705-3612 Ph: (714) 285-0500 |
| NPI Number | 1538616891 |
|---|---|
| Provider Enumeration Date | 09/04/2016 |
| Last Update Date | 09/04/2016 |
| Medicare PECOS PAC ID | 9032545207 |
|---|---|
| Medicare Enrollment ID | O20200206001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538616891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62100 (California) | Primary |
| Provider Name | Joseph Mina Youssef Atalla |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912243601 PECOS PAC ID: 1759717937 Enrollment ID: I20200206001510 |
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