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Organization
MAHAJAN & KAILA PROF DENTAL CORP
Active
Organization
MAHAJAN & KAILA PROF DENTAL CORP
Active
Other names
Tustin Smile Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL KUMAR MAHAJAN DDS (OWNER)
(714) 665-0005
Entity
Organization
Contact information
Practice address
12791 NEWPORT AVE STE 200, TUSTIN, CA 92780-8023
(714) 665-0005
(714) 665-0055
Mailing address
12791 NEWPORT AVE STE 200, TUSTIN, CA 92780-8023
(714) 665-0005
(714) 665-0055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57847
CA
122300000X
Dentist
Primary
58280
CA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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