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Organization
TUSTIN GROUP INC.
Active
Organization
TUSTIN GROUP INC.
Active
Other names
SOCAL SMILES DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMEET KUMAR SRIVASTAVA D.D.S. (CEO)
(510) 543-4936
Entity
Organization
Contact information
Practice address
12791 NEWPORT AVE, SUITE 200, TUSTIN, CA 92780-2751
(510) 543-4936
Mailing address
12791 NEWPORT AVE, SUITE 200, TUSTIN, CA 92780-2751
(510) 543-4936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62444
CA
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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