Orange Coast Dental | |
1717 Old Tustin Ave Santa Ana CA 92705-7815 | |
(714) 835-9188 | |
Not Available |
Full Name | Orange Coast Dental |
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Speciality | Dentist - General Practice |
Location | 1717 Old Tustin Ave, Santa Ana, California |
Authorized Official Name and Position | Steve Sutherland (PRESIDENT) |
Authorized Official Contact | 3103183303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orange Coast Dental 1717 Old Tustin Ave Santa Ana CA 92705-7815 Ph: (714) 835-9188 | Orange Coast Dental 1717 Old Tustin Ave Santa Ana CA 92705-7815 Ph: (714) 835-9188 |
NPI Number | 1174710933 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 09/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174710933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 43862 (California) | Primary |
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