Southland Dental Arts | |
740 El Camino Real Ste 200 Tustin CA 92780-4369 | |
(714) 838-3230 | |
(714) 838-0253 |
Full Name | Southland Dental Arts |
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Speciality | Dentist - General Practice |
Location | 740 El Camino Real Ste 200, Tustin, California |
Authorized Official Name and Position | Ashokkumar S Mehta (OWNER) |
Authorized Official Contact | 7148383230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southland Dental Arts 740 El Camino Real Ste 200 Tustin CA 92780-4369 Ph: (714) 838-3230 | Southland Dental Arts 740 El Camino Real Ste 200 Tustin CA 92780-4369 Ph: (714) 838-3230 |
NPI Number | 1548394034 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 10/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548394034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28761 (California) | Primary |
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