Individual
THEODORA TRIPHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13297 JAMBOREE RD, TUSTIN, CA 92782-9159
(714) 730-6600
(951) 776-1571
Mailing address
13297 JAMBOREE RD, TUSTIN, CA 92782-9159
(714) 730-6600
(951) 776-1751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
104188
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104188
CA
Other
Enumeration date
04/08/2018
Last updated
06/23/2024
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