Uci Student Health Dental Clinic

NPI #1295127561 in Irvine, California

Provider Information

NPI Number: 1295127561
Entity Type: Organization
Organization Name: Uci Student Health Dental Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: REGENTS OF THE UNIVERSITY OF CALIFORNIA
Primary Specialty: Dentist
Enumeration Date: Feb 24, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 500 E PELTASON DR
City: Irvine
State: California
ZIP Code: 92697-5500
Phone: (949) 824-5307

Authorized Official

Name: JOHN PATRICK HAINES
Title: EXECUTIVE DIRECTOR
Phone: (949) 824-9416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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