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Organization
MANOLET SANTOS DDS PROFESSIONAL DENTAL CORPORATION
Active
Organization
MANOLET SANTOS DDS PROFESSIONAL DENTAL CORPORATION
Active
Other names
AB Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOLET SANTOS DMD (PRESIDENT)
(951) 256-6782
Entity
Organization
Contact information
Practice address
10106 ADAMS AVE, HUNTINGTON BEACH, CA 92646-4907
(714) 962-7797
(714) 965-3766
Mailing address
10106 ADAMS AVE, HUNTINGTON BEACH, CA 92646-4907
(714) 962-7797
(714) 965-3766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
56775
CA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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