Individual
JOHN GEORGE MOUTSATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4674 BARRANCA PARKWAY, IRVINE, CA 92604-4731
(949) 551-2532
(949) 551-2443
Mailing address
4674 BARRANCA PARKWAY, IRVINE, CA 92604-4731
(949) 551-2532
(949) 551-2443
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24151
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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