# CESAR A ECHEVERRY DDS CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Costa Mesa Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811696214
- **Authorized official:** DR. CESAR AUGUSTO ECHEVERRY SR. DDS (DENTIST)
- **Authorized official phone:** (703) 309-6878

## Contact information

- **Practice address:** 728 W 19TH ST STE B, COSTA MESA, CA 92627-6148
- **Practice address phone:** (703) 309-6878
- **Mailing address:** 728 W 19TH ST STE B, COSTA MESA, CA 92627-6148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 02/24/2023