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Organization
NOLASCO STA ANA DMD INC
Active
Organization
NOLASCO STA ANA DMD INC
Active
Other names
Nolasco Sta Ana DMD Inc Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NOLASCO T STA ANA DMD (PRESIDENT)
(714) 220-9647
Entity
Organization
Contact information
Practice address
2560 W LINCOLN AVE, ANAHEIM, CA 92801
(714) 220-9647
(714) 220-0375
Mailing address
2560 W LINCOLN AVE, ANAHEIM, CA 92801
(714) 220-9647
(714) 220-0375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83534101
DENTI CAL
CA
Enumeration date
06/13/2007
Last updated
08/22/2020
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