# DINA ALEISSA D.D.S. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange Gentle Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689079550
- **Authorized official:** DR. DINA ALEISSA (PRESIDENT)
- **Authorized official phone:** (714) 997-5555

## Contact information

- **Practice address:** 1330 N GLASSELL ST STE E, ORANGE, CA 92867-3628
- **Practice address phone:** (714) 997-5555
- **Mailing address:** PO BOX 7133, ORANGE, CA 92863-7133
- **Mailing address phone:** (714) 997-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 62342 | CA | Yes |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 01/09/2015
