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Organization
HUSS DENTAL CORPORATION
Active
Organization
HUSS DENTAL CORPORATION
Active
Other names
Park Place Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEDEDIAH V HUSS DDS (OWNER)
(805) 499-4441
Entity
Organization
Contact information
Practice address
501 S REINO RD, SUITE G, NEWBURY PARK, CA 91320-4269
(805) 499-4441
(805) 499-4410
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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