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Organization
JORGE VITAL DDS INC
Active
Organization
JORGE VITAL DDS INC
Active
Other names
Dental 4
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ENRIQUE VITAL (OWNER)
(714) 558-1464
Entity
Organization
Contact information
Practice address
102 E 4TH ST FL 2, SANTA ANA, CA 92701-4602
(714) 558-1464
(714) 558-2971
Mailing address
102 E 4TH ST FL 2, SANTA ANA, CA 92701-4602
(714) 558-1464
(714) 558-2971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49701
CA
Other
Enumeration date
04/09/2015
Last updated
12/03/2021
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