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NPI Code Detail

MEDICARE: JULIO INIGUEZ DENTAL CORPORATION

MEDICARE: JULIO INIGUEZ DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry36380CA

General Provider Information

NPI Number : 1619034923
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULIO INIGUEZ DENTAL CORPORATION
Provider Business Mailing Address
First Line : 1631 N BRISTOL ST
Second Line : SUITE 100
City : SANTA ANA
State : CA
Zip : 92706-3342
Country : US
Telephone Number : 714-567-9255
Fax Number :
Provider Business Practice Location Address
First Line : 1631 N BRISTOL ST
Second Line : SUITE 100
City : SANTA ANA
State : CA
Zip : 92706-3342
Country : US
Telephone Number : 714-567-9255
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JULIO INIGUEZ
Credential :
Telephone Number : 714-567-9255
Provider Enumeration Date : 01/03/2007
Last Update Date : 08/22/2020

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Directions to “JULIO INIGUEZ DENTAL CORPORATION ” Practice Location

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