Organization
ANDONIAN DENTAL CORP
Active
Other names
Fountain Valley Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WILLIAM ANDONIAN DDS (PRESIDENT)
(614) 256-6636
Entity
Organization
Contact information
Practice address
18430 BROOKHURST ST STE 104, FOUNTAIN VALLEY, CA 92708-6726
(714) 963-3005
Mailing address
17312 DREY LN, HUNTINGTON BEACH, CA 92647-5616
(614) 256-6636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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