Organization
ASSISTANCE LEAGUE OF SANTA ANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY DUNN (ADMINISTRATOR)
(714) 403-2508
Entity
Organization
Contact information
Practice address
1028 W 2ND ST, SANTA ANA, CA 92703-3929
(714) 403-2508
Mailing address
1037 W 1ST ST, SANTA ANA, CA 92703-3925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1269721112
DENTICAL
CA
Enumeration date
10/18/2016
Last updated
10/18/2016
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