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Organization
TONY DO DDS INC
Active
Organization
TONY DO DDS INC
Active
Other names
NUSMILE Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY D DO DDS (PRESIDENT)
(949) 439-4389
Entity
Organization
Contact information
Practice address
1132 N BROOKHURST ST STE B, ANAHEIM, CA 92801-1791
(714) 535-0535
(714) 535-0090
Mailing address
1132 N BROOKHURST ST STE B, ANAHEIM, CA 92801-1791
(714) 535-0535
(714) 535-0090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497800649
DENTICAL NPI-INDIVIDUAL
CA
Enumeration date
08/09/2007
Last updated
08/09/2007
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