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Organization
MARTHA ATALLA DENTAL CORPORATION
Active
Organization
MARTHA ATALLA DENTAL CORPORATION
Active
Other names
South Coast Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA NAGY ATALLA DMD (OWNER)
(657) 210-5832
Entity
Organization
Contact information
Practice address
3901 S BRISTOL ST, SANTA ANA, CA 92704-7427
(657) 210-5832
(657) 212-6200
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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