Organization
ANAHEIMDENTALCARE
Active
Other names
anaheimdentalcare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CECILIA MONTOYA (MANAGER)
(714) 821-7645
Entity
Organization
Contact information
Practice address
3050 WEST LINCOLN AVENUE SUITE A, ANAHEIM, CA 92801-6131
(714) 821-7645
(714) 761-2106
Mailing address
3050 WEST LINCOLN AVENUE SUITE A, ANAHEIM, CA 92801-6131
(714) 821-7645
(714) 761-2106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49259
CA
Other
Enumeration date
05/11/2007
Last updated
06/17/2008
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