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Organization
M ROBERTA DORNAN DDS INC
Active
Organization
M ROBERTA DORNAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN ROBERTA DORNAN D.D.S. (OWNER)
(714) 544-2020
Entity
Organization
Contact information
Practice address
13422 NEWPORT AVE STE B, TUSTIN, CA 92780-3746
(714) 544-2020
(714) 544-7620
Mailing address
13422 NEWPORT AVE STE B, TUSTIN, CA 92780-3746
(714) 544-2020
(714) 544-7620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30107
CA
Other
Enumeration date
06/12/2012
Last updated
02/08/2018
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