Organization
CEBALLOS PROFESSIONAL DENTAL CORPORATION
Active
Other names
Rocedent Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA VANESSA CEBALLOS DDS (DENTIST /0WNER)
(914) 268-1016
Entity
Organization
Contact information
Practice address
965 S BEACH BLVD, ANAHEIM, CA 92804-3983
(714) 527-2982
Mailing address
965 S BEACH BLVD, ANAHEIM, CA 92804-3983
(714) 527-2982
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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