| Mary M. Jew Dds, A Professional Organization | |
|
18102 Irvine Blvd Suite 200 Tustin CA 92780-3402 | |
| (714) 838-0870 | |
| (714) 838-1033 |
| Full Name | Mary M. Jew Dds, A Professional Organization |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18102 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Mary Jew (PRESIDENT) |
| Authorized Official Contact | 7148380870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M. Jew Dds, A Professional Organization 18102 Irvine Blvd Suite 200 Tustin CA 92780-3402 Ph: (714) 838-0870 | Mary M. Jew Dds, A Professional Organization 18102 Irvine Blvd Suite 200 Tustin CA 92780-3402 Ph: (714) 838-0870 |
| NPI Number | 1790993913 |
|---|---|
| Provider Enumeration Date | 05/19/2007 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790993913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 35410 (California) | Primary |
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