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Organization
ORANGE FAMILY DENTISTRY
Active
Organization
ORANGE FAMILY DENTISTRY
Active
Other names
Jay J Berger
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE SWOPE (OFFICE MANAGER)
(714) 685-7999
Entity
Organization
Contact information
Practice address
1601 E LINCOLN AVE STE 1601, ORANGE, CA 92865-1957
(714) 685-7999
(714) 685-8869
Mailing address
1601 E LINCOLN AVE STE 1601, ORANGE, CA 92865-1957
(714) 685-7999
(714) 685-8869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952506768
DENTI-CAL NPI
CA
01
—
524389
DENTI-CAL PIN
CA
01
—
G-91841-01
DENTI-CAL BILLING PROVIDER NUMBER
CA
Enumeration date
06/19/2013
Last updated
06/19/2013
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