Organization
AMARA CRANDALL ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARA CRANDALL DDS, MSD (ORTHODONTIST)
(714) 202-5648
Entity
Organization
Contact information
Practice address
2710 N GRAND AVE, SANTA ANA, CA 92705-8750
(714) 202-5648
(949) 932-0455
Mailing address
1516 CONTESSA, IRVINE, CA 92620-1732
(562) 239-5027
(949) 932-0455
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38029
CA
Other
Enumeration date
02/22/2007
Last updated
04/21/2020
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