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Organization
ORLY TAITZ, INC
Active
Organization
ORLY TAITZ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLY TAITZ DDS (PRESIDENT OF CORP.)
(949) 683-5411
Entity
Organization
Contact information
Practice address
29839 SANTA MARGARITA PKWY STE 100, RANCHO SANTA MARGARITA, CA 92688-3616
(949) 766-7687
(949) 766-7603
Mailing address
29839 SANTA MARGARITA, STE 100, RANCO SANTA MARGARITA, CA 92688
(949) 766-7687
(949) 766-7603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37934
CA
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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