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Organization
GUADALUPE A. MEJIA DENTAL CORP.
Active
Organization
GUADALUPE A. MEJIA DENTAL CORP.
Active
Parent organization
GUADALUPE A. MEJIA DENTAL CORP.
Other names
Millennium Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUADALUPE A. MEJIA DENTAL CORP.
Authorized official
GUADALUPE ANA MEJIA DDS (PRESIDENT)
(714) 553-0751
Entity
Organization
Contact information
Practice address
700 W 19TH ST., SUITE C, COSTA MESA, CA 92627
(949) 722-9027
Mailing address
700 W 19TH ST., SUITE C, COSTA MESA, CA 92627
(949) 722-9027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS100192
CA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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