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General Practice Dentistry

NPI: 1972200335Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

107707(CA)

Contact & Hours

Address: 14051 NEWPORT AVE STE F
TUSTIN, CA 92780
Phone: (714) 310-9896

Quick Facts

NPI: 1972200335
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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