| Socal Smiles Dentistry | |
|
12791newport Ave 200 Tustin CA 92780 | |
| (714) 665-0005 | |
| (714) 665-0055 |
| Full Name | Socal Smiles Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12791newport Ave, Tustin, California |
| Authorized Official Name and Position | Rinesh Ganatra (DDS/PRESIDENT) |
| Authorized Official Contact | 7146650005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Smiles Dentistry 12791newport Ave Suite 200 Tustin CA 92780 Ph: (714) 665-0005 | Socal Smiles Dentistry 12791newport Ave 200 Tustin CA 92780 Ph: (714) 665-0005 |
| NPI Number | 1730371931 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730371931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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