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Organization
DR SAMUEL DENTAL CORP
Active
Organization
DR SAMUEL DENTAL CORP
Active
Other names
Dr Samuel Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKRAM SAMUEL DDS (OWNER)
(714) 699-6838
Entity
Organization
Contact information
Practice address
13011 NEWPORT AVE, TUSTIN, CA 92780-3524
(714) 699-6838
Mailing address
13662 ESTERO CIR, TUSTIN, CA 92780-4556
(714) 699-6838
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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