Medical Center Dental Group

NPI #1023405008 in Fountain Valley, California

Provider Information

NPI Number: 1023405008
Entity Type: Organization
Organization Name: Medical Center Dental Group
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 11160 WARNER AVE
Address 2: SUITE 303
City: Fountain Valley
State: California
ZIP Code: 92708-4008
Phone: (714) 557-8492

Authorized Official

Name: WADID ANTOINE FATTOUCH, DDS
Title: OWNER
Phone: (714) 557-8492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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