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Organization
JUAN JOSE HIDALGO VILLACORTA DDS, INC
Active
Organization
JUAN JOSE HIDALGO VILLACORTA DDS, INC
Active
Other names
Brilliance Dental of Anaheim
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN HIDALGO (MANAGER)
(657) 254-0003
Entity
Organization
Contact information
Practice address
1732 W MEDICAL CENTER DR, ANAHEIM, CA 92801-1801
(541) 513-3350
Mailing address
7 SNOWAPPLE, IRVINE, CA 92614-7412
(541) 513-3350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
11/18/2023
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