Vizconde Dental Corporation

NPI 1891126355 - Dentist - 1223G0001X

NPI Details
NPI 1891126355
Enumeration Date 12/10/2013
Last Updated 12/10/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name EDNA P EDNA
Position SECRETARY
Phone (714) 228-1230
Fax (714) 228-0580
Practice Location
5771 BEACH BLVD
BUENA PARK CA, 90621-2044, US
Phone (714) 228-1230
Fax (714) 228-0580
Business Location
5771 BEACH BLVD
BUENA PARK CA, 90621-2044, US
Phone (714) 228-1230
Fax (714) 228-0580
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 31414
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According to our database, Vizconde Dental Corporation NPI is 1891126355, taxonomy code is 1223G0001X and license number is 31414, license state is located at California. Vizconde Dental Corporation physically located at 5771 Beach Blvd, Buena Park CA, 90621-2044. NPI Number 1033115704 has the healthcare provider type.

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1891126355 NPI number is provided on an as is basis without warranty of any kind. 1891126355 is maintained by the National Plan & Provider Enumeration System. The contents of Vizconde Dental Corporation are for informational purposes only.