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Organization
VANSON DENTAL CORPORATION
Active
Organization
VANSON DENTAL CORPORATION
Active
Other names
Tustin Legacy Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M VANSON DDS (OWNER)
(714) 294-0807
Entity
Organization
Contact information
Practice address
15160 KENSINGTON PARK DRIVE, STE 610, TUSTIN, CA 92782
(714) 294-0807
(714) 294-0808
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
02/01/2022
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