Organization
ANDREW SPATH DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SPATH DDS (OWNER)
(949) 612-2356
Entity
Organization
Contact information
Practice address
2121 E COAST HWY STE 290, CORONA DEL MAR, CA 92625-1940
(949) 612-2356
(949) 544-5207
Mailing address
2121 E COAST HWY STE 290, CORONA DEL MAR, CA 92625-1940
(949) 612-2356
(949) 544-5207
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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