Organization
PAUL ATHANASIUS DDS, INC.
Active
Other names
Genuine Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ATHANASIUS D.D.S. (OWNER)
(714) 282-9131
Entity
Organization
Contact information
Practice address
1122 E LINCOLN AVE, SUITE 115, ORANGE, CA 92865-1907
(714) 282-9131
(714) 282-9134
Mailing address
1122 E LINCOLN AVE, SUITE 115, ORANGE, CA 92865-1907
(714) 282-9131
(714) 282-9134
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
59641
CA
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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