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Organization
KEVIN J FORTIER DDS & THUY T FORTIER DDS INC
Active
Organization
KEVIN J FORTIER DDS & THUY T FORTIER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUY T FORTIER DDS (DENTIST OWNER OF CORPORATION)
(714) 898-8552
Entity
Organization
Contact information
Practice address
408 S BEACH BLVD STE 207, ANAHEIM, CA 92804-1882
(714) 828-8558
(714) 828-8858
Mailing address
408 S BEACH BLVD STE 207, ANAHEIM, CA 92804-1882
(714) 828-8558
(714) 828-8858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41831
CA
1223G0001X
General Practice Dentistry
41880
CA
Other
Enumeration date
10/19/2005
Last updated
04/12/2017
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