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Organization
DENTAL OFFICE OF JOEL HENRIOD DDS INC
Active
Organization
DENTAL OFFICE OF JOEL HENRIOD DDS INC
Active
Other names
Beach City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TWYLA M PARDON (REGIONAL DIRECTOR)
(714) 420-0952
Entity
Organization
Contact information
Practice address
17762 BEACH BLVD STE 210, HUNTINGTON BEACH, CA 92647-6860
(714) 898-2517
Mailing address
17762 BEACH BLVD STE 210, HUNTINGTON BEACH, CA 92647-6860
(714) 898-2517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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