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Organization
DIENTES COMMUNITY DENTAL CARE.
Active
Organization
DIENTES COMMUNITY DENTAL CARE.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MARCUS (EXECUTIVE DIRECTOR)
(831) 464-5420
Entity
Organization
Contact information
Practice address
1830 COMMERCIAL WAY, SANTA CRUZ, CA 95065-1819
(831) 464-5409
(831) 464-5416
Mailing address
1830 COMMERCIAL WAY, SANTA CRUZ, CA 95065-1819
(831) 464-5409
(831) 464-5416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090880
UDS
CA
01
—
1818962
STATE CORPORATE NUMBER
CA
01
—
932861867
DUNS
CA
Enumeration date
12/19/2006
Last updated
06/22/2015
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