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Organization
NORTH TUSTIN DENTAL SPECIALTY CENTER INC
Active
Organization
NORTH TUSTIN DENTAL SPECIALTY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERLENE TING (ADMINISTRATOR)
(626) 375-0656
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD STE 211, TUSTIN, CA 92780-3414
(714) 838-2001
Mailing address
1245 W HUNTINGTON DR STE 103, ARCADIA, CA 91007-6384
(626) 898-9787
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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