Organization
R.E. MAYER, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLF E. MAYER D.D.S. (OWNER)
(714) 633-8484
Entity
Organization
Contact information
Practice address
2901 E. KATELLA AVENUE, SUITE A, ORANGE, CA 92886
(714) 633-8484
(714) 633-8005
Mailing address
2901 E. KATELLA AVENUE, SUITE A, ORANGE, CA 92886
(714) 633-8484
(714) 633-8005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D31324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G-93402-01
DENTI-CAL
CA
Enumeration date
07/30/2009
Last updated
07/30/2009
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