| Tustin Dental | |
|
17292 Mcfadden Ave Suite # F Tustin CA 92780-5523 | |
| (714) 838-7570 | |
| (714) 505-9105 |
| Full Name | Tustin Dental |
|---|---|
| Speciality | Dentist |
| Location | 17292 Mcfadden Ave, Tustin, California |
| Authorized Official Name and Position | Amelia Ramirez Orduna (CEO DDS) |
| Authorized Official Contact | 7148387570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tustin Dental 17292 Mcfadden Ave Suite # F Tustin CA 92780-5523 Ph: (714) 838-7570 | Tustin Dental 17292 Mcfadden Ave Suite # F Tustin CA 92780-5523 Ph: (714) 838-7570 |
| NPI Number | 1629124011 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629124011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48356 (California) | Primary |
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