| Kanthi J Appannagari Professional Dental Corporation | |
|
17400 Irvine Blvd Ste E Tustin CA 92780-3030 | |
| (714) 371-0776 | |
| (714) 371-0179 |
| Full Name | Kanthi J Appannagari Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17400 Irvine Blvd Ste E, Tustin, California |
| Authorized Official Name and Position | Kanthi J Appannagari (OWNER) |
| Authorized Official Contact | 7143710776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanthi J Appannagari Professional Dental Corporation 17400 Irvine Blvd Ste E Tustin CA 92780-3030 Ph: (714) 371-0776 | Kanthi J Appannagari Professional Dental Corporation 17400 Irvine Blvd Ste E Tustin CA 92780-3030 Ph: (714) 371-0776 |
| NPI Number | 1073098158 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073098158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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