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Organization
SERGIO VICUNA DENTAL CORPORATION
Active
Organization
SERGIO VICUNA DENTAL CORPORATION
Active
Other names
Davis Smiles Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO VICUNA DDS (OWNER DOCTOR)
(310) 451-5060
Entity
Organization
Contact information
Practice address
4515 FERMI PLACE SUITE 106, DAVIS, CA 95618
(310) 451-5060
(310) 451-5062
Mailing address
17000 RED HILL AVENUE, IRVINE, ORANGE 92614
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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