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Organization

SERENA T TA DENTAL CORPORATION

Active
Other names
SERENA TA, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SERENA T TA DDS (PRESIDENT)
(714) 468-6060
Entity
Organization

Contact information

Practice address
18700 MAIN ST STE 203, HUNTINGTON BEACH, CA 92648-1714
(714) 375-7222
Mailing address
18700 MAIN ST STE 203, HUNTINGTON BEACH, CA 92648-1714
(714) 375-7222

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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