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Organization
JAC DENTISTRY PC
Active
Organization
JAC DENTISTRY PC
Active
Parent organization
JAC DENTISTRY PC
Other names
NOVADENT DENTAL OFFICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAC DENTISTRY PC
Authorized official
MS. ALEJANDRA BERENICE DE ANDA (OFFICE ADMINISTRATOR)
(714) 650-9381
Entity
Organization
Contact information
Practice address
901 W CIVIC CENTER DR STE 180, SANTA ANA, CA 92703-2357
(714) 650-9381
(714) 516-2234
Mailing address
901 W CIVIC CENTER DR STE 180, SANTA ANA, CA 92703-2357
(714) 650-9381
(714) 516-2234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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