| Market Place Dentistry | |
|
2925 El Camino Real Tustin CA 92782-8909 | |
| (714) 505-0123 | |
| (714) 505-4443 |
| Full Name | Market Place Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2925 El Camino Real, Tustin, California |
| Authorized Official Name and Position | Naz Haque (PRESIDENT) |
| Authorized Official Contact | 7145050123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Market Place Dentistry 2925 El Camino Real Tustin CA 92782-8909 Ph: (714) 505-0123 | Market Place Dentistry 2925 El Camino Real Tustin CA 92782-8909 Ph: (714) 505-0123 |
| NPI Number | 1194849125 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 04/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194849125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45110 (California) | Primary |
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