# DONALD ALLEN GRUPE DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407961725
- **Authorized official:** DR. DONALD ALLEN GRUPE DDS (PRESIDENT DENTIST)
- **Authorized official phone:** (949) 752-7555

## Contact information

- **Practice address:** 2192 MARTIN AVE, \#240, IRVINE, CA 92612
- **Practice address phone:** (949) 752-7555
- **Practice address fax:** (949) 752-1384
- **Mailing address:** 2192 MARTIN, \#240, IRVINE, CA 92612
- **Mailing address phone:** (949) 752-7555
- **Mailing address fax:** (949) 752-1384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 23314 | CA | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020