Organization
JUAN JOSE HIDALGO VILLACORTA DDS, INC
Active
Other names
Brilliance Dental of Anaheim
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN HIDALGO (MANAGER)
(657) 254-0003
Entity
Organization
Contact information
Practice address
1732 W MEDICAL CENTER DR, ANAHEIM, CA 92801-1801
(541) 513-3350
Mailing address
7 SNOWAPPLE, IRVINE, CA 92614-7412
(541) 513-3350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
11/18/2023
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