Organization
MEDICAL CENTER DENTAL GROUP
Active
Other names
Medical Center Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADID ANTOINE FATTOUCH D.D.S. (DENTIST CEO)
(714) 557-8492
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, SUITE 303, FOUNTAIN VALLEY, CA 92708
(714) 557-8492
(714) 557-5392
Mailing address
11160 WARNER AVE, SUITE 303, FOUNTAIN VALLEY, CA 92708
(714) 557-8492
(714) 557-5392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30544
CA
Other
Enumeration date
03/30/2009
Last updated
05/01/2015
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