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Organization
NUVO DENTAL OF IRVINE
Active
Organization
NUVO DENTAL OF IRVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALEK MANSOUR DDS (OWNER)
(949) 529-7227
Entity
Organization
Contact information
Practice address
22 ODYSSEY STE 265, IRVINE, CA 92618-7701
(949) 529-7227
Mailing address
22 ODYSSEY STE 265, IRVINE, CA 92618-7701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29971
CA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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