Organization
GANATRA DENTAL CORPORATION
Active
Other names
SoCal Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RINESH GANATRA D.D.S. (DDS/PRESIDENT)
(714) 665-0005
Entity
Organization
Contact information
Practice address
12791NEWPORT AVE, 200, TUSTIN, CA 92780
(714) 665-0005
(714) 665-0055
Mailing address
12791NEWPORT AVE, SUITE 200, TUSTIN, CA 92780
(714) 665-0005
(714) 665-0055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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