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Organization

DAVID M DATU DDS

Active
Other names
Smile Gallery Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID M DATU DDS (DR DATU PRES OWNER)
(714) 998-2241
Entity
Organization

Contact information

Practice address
1107 E LINCOLN AVE, SUITE #201, ORANGE, CA 92865
(714) 998-2241
(714) 998-8124
Mailing address
1107 E LINCOLN AVE, SUITE #201, ORANGE, CA 92865
(714) 998-2241
(714) 998-8124

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40568
CA

Other

Enumeration date
05/31/2007
Last updated
05/26/2015
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