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11001 Beach Blvd Stanton CA 90680-3216 | |
| (714) 891-6623 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11001 Beach Blvd, Stanton, California |
| Authorized Official Name and Position | Dennis R Fratt (OWNER) |
| Authorized Official Contact | 7144281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11001 Beach Blvd Stanton CA 90680-3216 Ph: (714) 891-6623 | 11001 Beach Blvd Stanton CA 90680-3216 Ph: (714) 891-6623 |
| NPI Number | 1073720892 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073720892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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