Fountain Modern Dentistry And Orthodontics, Llp

NPI 1730434622 - Dentist - 1223G0001X

NPI Details
NPI 1730434622
Enumeration Date 07/17/2012
Last Updated 07/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHARLES CHARLES
Position DDS/ OWNER
Phone (714) 368-2077
Fax (714) 368-2092
Practice Location
2860 MICHELLE DRIVE 2ND FLOOR
IRVINE CA, 92606, US
Phone (714) 368-2077
Fax (714) 368-2092
Business Location
6940 MESA RIDGE PARKWAY
FOUNTAIN CO, 80817, US
Phone (719) 382-4936
Fax (719) 382-4938
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 9356
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According to our database, Fountain Modern Dentistry And Orthodontics, Llp NPI is 1730434622, taxonomy code is 1223G0001X and license number is 9356, license state is located at Colorado. Fountain Modern Dentistry And Orthodontics, Llp physically located at 2860 Michelle Drive 2nd Floor, Irvine CA, 92606. NPI Number 1033115704 has the healthcare provider type.

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1730434622 NPI number is provided on an as is basis without warranty of any kind. 1730434622 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Modern Dentistry And Orthodontics, Llp are for informational purposes only.