Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEDICAL CENTER DENTAL GROUP
Active
Organization
MEDICAL CENTER DENTAL GROUP
Active
Other names
Medical Center Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADID ANTOINE FATTOUCH D.D.S. (DENTIST CEO)
(714) 557-8492
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, SUITE 303, FOUNTAIN VALLEY, CA 92708
(714) 557-8492
(714) 557-5392
Mailing address
11160 WARNER AVE, SUITE 303, FOUNTAIN VALLEY, CA 92708
(714) 557-8492
(714) 557-5392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30544
CA
Other
Enumeration date
03/30/2009
Last updated
05/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up