Organization
DANIEL JAFFE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS DANIEL JAFFE D.D.S. (DENTIST/OWNER)
(714) 374-1833
Entity
Organization
Contact information
Practice address
305 ORANGE AVE STE C, HUNTINGTON BEACH, CA 92648-8128
(714) 374-1833
(714) 374-0492
Mailing address
305 ORANGE AVE STE C, HUNTINGTON BEACH, CA 92648-8128
(714) 374-1833
(714) 374-0492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3901501
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
07/24/2007
Last updated
07/24/2007
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