Organization
HAQUE DENTAL CORPORATION
Active
Other names
Market Place Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZ HAQUE DDS (PRESIDENT)
(714) 505-0123
Entity
Organization
Contact information
Practice address
2925 EL CAMINO REAL, TUSTIN, CA 92782-8909
(714) 505-0123
(714) 505-4443
Mailing address
2925 EL CAMINO REAL, TUSTIN, CA 92782-8909
(714) 505-0123
(714) 505-4443
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45110
CA
Other
Enumeration date
03/16/2007
Last updated
04/12/2011
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