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Organization
OC DENTAL SPECIALISTS
Active
Organization
OC DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICHAEL BOONE DDS (DENTIST/OWNER)
(714) 606-9194
Entity
Organization
Contact information
Practice address
435 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2917
(714) 635-4200
Mailing address
PO BOX 1600, SUNSET BEACH, CA 90742-1600
(714) 606-9194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34661
CA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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