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Organization
RENATA ADAMES DDS PROFESSIONAL DENTAL CORPORATION
Active
Organization
RENATA ADAMES DDS PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESSICA PEREZ (OFFICE MANAGER)
(949) 642-4222
Entity
Organization
Contact information
Practice address
570 W 19TH ST, COSTA MESA, CA 92627-2749
(949) 642-4222
(949) 642-4657
Mailing address
570 W 19TH ST, COSTA MESA, CA 92627-2749
(949) 642-4222
(949) 642-4657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
12/03/2018
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