| Mark A. George D.d.s., Inc | |
|
1140 W La Veta Ave Ste 530 Orange CA 92868-4227 | |
| (714) 953-1000 | |
| (714) 953-9957 |
| Full Name | Mark A. George D.d.s., Inc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1140 W La Veta Ave Ste 530, Orange, California |
| Authorized Official Name and Position | Diana Leslie Costello (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7149531000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. George D.d.s., Inc 1140 W La Veta Ave Ste 530 Orange CA 92868-4227 Ph: (714) 953-1000 | Mark A. George D.d.s., Inc 1140 W La Veta Ave Ste 530 Orange CA 92868-4227 Ph: (714) 953-1000 |
| NPI Number | 1285941005 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285941005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 31142 (California) | Primary |
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