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Organization
GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER, LLC
Active
Organization
GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ABDUL-FIELAT DDS (CHIEF ADMINISTRATIVE OFFICER)
(951) 818-6017
Entity
Organization
Contact information
Practice address
12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
(714) 844-9212
(714) 844-9212
Mailing address
12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
(714) 844-9212
(714) 844-9212
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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