Organization
ALMODOVAR DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW ANTHONY ALMODOVAR D.D.S. (PRESIDENT)
(714) 614-2854
Entity
Organization
Contact information
Practice address
1503 S COAST DR STE 200, COSTA MESA, CA 92626-1546
(714) 546-3000
Mailing address
9161 GUSS DR, HUNTINGTON BEACH, CA 92646-4604
(714) 614-2854
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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