Organization · NPI-2

Anaheimdentalcare

Dentist, General Practice · Anaheim, CA

NPI number1811102189
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1811102189
Entity type
Organization (NPI-2)
Legal business name
Anaheimdentalcare
Organization subpart
No
Enumeration date
May 11, 2007
Last updated
Jun 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice49259CAYes

Other names

  • Anaheimdentalcare (Former Legal Business Name)

Practice location

3050 West Lincoln Avenue Suite A
Anaheim, CA 92801-6131

Phone 714-821-7645 · Fax 714-761-2106

Mailing address

3050 West Lincoln Avenue Suite A
Anaheim, CA 92801-6131

Phone 714-821-7645 · Fax 714-761-2106

Authorized official

Cecilia Montoya
Manager
7148217645

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