Dental Express

NPI 1114319027 - Dentist - 1223G0001X

NPI Details
NPI 1114319027
Enumeration Date 03/02/2015
Last Updated 03/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JUSTIN JUSTIN
Position DENTIST
Phone (714) 821-0973
Fax
Practice Location
1256 S MAGNOLIA AVE
ANAHEIM CA, 92804-5116, US
Phone (714) 821-0973
Fax
Business Location
1256 S MAGNOLIA AVE
ANAHEIM CA, 92804-5116, US
Phone (714) 821-0973
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 49686
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According to our database, Dental Express NPI is 1114319027, taxonomy code is 1223G0001X and license number is 49686, license state is located at California. Dental Express physically located at 1256 S Magnolia Ave, Anaheim CA, 92804-5116. NPI Number 1033115704 has the healthcare provider type.

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1114319027 NPI number is provided on an as is basis without warranty of any kind. 1114319027 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Express are for informational purposes only.