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General NPI Number Information
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NPI Number | 1629124011
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Entity Type | Organization
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Legal Business Name | AMELIA RAMIREZ ORDUNA DDS INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17292 MCFADDEN AVE SUITE # F
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City | TUSTIN
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State | CA
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Zip | 92780-5523
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Country | US
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Telephone | 714-838-7570
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Fax | 714-505-9105
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Provider Business Mailing Address
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Address Line | 17292 MCFADDEN AVE SUITE # F
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City | TUSTIN
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State | CA
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Zip | 92780-5523
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Country | US
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Telephone | 714-838-7570
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Fax | 714-505-9105
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Authorized Official
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Title or Position | CEO DDS
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Name | MRS. AMELIA RAMIREZ ORDUNA
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Credential | DDS
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Telephone | 714-838-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 48356
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License Number State | CA
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