| Vitalae Dental Spa | |
|
2500 Alton Pkwy Ste 208 Irvine CA 92606-5034 | |
| (949) 748-6220 | |
| (949) 748-6225 |
| Full Name | Vitalae Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2500 Alton Pkwy Ste 208, Irvine, California |
| Authorized Official Name and Position | Margaret Dinhluu Bredehoft (ADMINISTRATOR) |
| Authorized Official Contact | 9497486220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalae Dental Spa 2500 Alton Pkwy Ste 208 Irvine CA 92606-5034 Ph: (949) 748-6220 | Vitalae Dental Spa 2500 Alton Pkwy Ste 208 Irvine CA 92606-5034 Ph: (949) 748-6220 |
| NPI Number | 1891902375 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891902375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39255 (California) | Primary |
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