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Organization
IRVINE SPECTRUM DENTAL
Active
Organization
IRVINE SPECTRUM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE TONG (DENTIST)
(949) 387-6418
Entity
Organization
Contact information
Practice address
9070 IRVINE CENTER DR STE 130, IRVINE, CA 92618-4690
(949) 387-6418
(949) 387-6419
Mailing address
9070 IRVINE CENTER DR STE 130, IRVINE, CA 92618-4690
(949) 387-6418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33186
CA
261QD0000X
Dental Clinic/Center
45069
CA
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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