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Organization
ORANGE COUNTY FOOT AND ANKLE GROUP, INC.
Active
Organization
ORANGE COUNTY FOOT AND ANKLE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN IAN BENNETT D.P.M. (PRESIDENT)
(714) 888-6860
Entity
Organization
Contact information
Practice address
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
(714) 888-6860
(714) 888-6867
Mailing address
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
(714) 888-6860
(714) 888-6867
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4301
CA
Other
Enumeration date
07/09/2006
Last updated
03/19/2018
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