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Organization
UCI STUDENT HEALTH DENTAL CLINIC
Active
Organization
UCI STUDENT HEALTH DENTAL CLINIC
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
JOHN PATRICK HAINES (EXECUTIVE DIRECTOR)
(949) 824-9416
Entity
Organization
Contact information
Practice address
500 E PELTASON DR, IRVINE, CA 92697-5500
(949) 824-5307
Mailing address
501 STUDENT HEALTH, IRVINE, CA 92697-5200
(949) 824-7010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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