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Organization
NUVO DENTAL
Active
Organization
NUVO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALEK MANSOUR D.D.S (DENTIST)
(949) 585-1515
Entity
Organization
Contact information
Practice address
22 ODYSSEY, SUITE 265, IRVINE, CA 92618-3186
(949) 585-1515
Mailing address
8 GALILEO, IRVINE, CA 92603-3621
(949) 500-0444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63978
CA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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