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Organization
MEDICAL CENTER DENTAL GROUP
Active
Organization
MEDICAL CENTER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADID ANTOINE FATTOUCH DDS (OWNER)
(714) 557-8492
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, SUITE 303, FOUNTAIN VALLEY, CA 92708-4008
(714) 557-8492
Mailing address
11160 WARNER AVE, SUITE 303, FOUNTAIN VALLEY, CA 92708-4008
(714) 557-8492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30544
CA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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