Organization · NPI-2

Anaheim First Family Dental INC.

Dentist, General Practice · Anaheim, CA

NPI number1053585422
StatusActive
Last updated in NPPESApr 16, 2008

Details

NPI
1053585422
Entity type
Organization (NPI-2)
Legal business name
Anaheim First Family Dental INC.
Organization subpart
No
Enumeration date
Apr 16, 2008
Last updated
Apr 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice–CAYes

Practice location

1161 N Euclid St
Anaheim, CA 92801-1938

Phone 714-999-5050

Mailing address

1161 N Euclid St
Anaheim, CA 92801-1938

Phone 714-999-5050

Authorized official

Mary Ann Desantiago
Ceo
7149995050

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