Individual
BARRY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2660 CYPRESS PT, TUSTIN, CA 92782-1244
(310) 600-3123
Mailing address
2660 CYPRESS PT, TUSTIN, CA 92782-1244
(310) 600-3123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31670
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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