Organization
ACEVEDO DENTAL OFFICE, INC.
Active
Parent organization
ACEVEDO DENTAL OFFICE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACEVEDO DENTAL OFFICE INC.
Authorized official
LIDYA SORAYA ACEVEDO D.D.S (OWNER)
(323) 724-1010
Entity
Organization
Contact information
Practice address
2800 N MAIN ST UNIT 1010, SANTA ANA, CA 92705-6608
(714) 617-7979
(714) 617-7278
Mailing address
2800 N MAIN ST UNIT 1010, SANTA ANA, CA 92705-6608
(714) 617-7979
(714) 617-7278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55423
CA
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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