Family Dental
NPI #1871858688 in Costa Mesa, California
Provider Information
- NPI Number
- 1871858688
- Entity Type
- Organization
- Organization Name
- Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 9, 2012
- Last Updated
- Jul 9, 2012
Practice Location
- Address
- 700 W 19TH ST
- Address 2
- SUITE C
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-3517
- Phone
- (714) 722-9027
Authorized Official
- Name
- LETICIA CAMACHO, D.D.S.
- Title
- PRESIDENR
- Phone
- (714) 972-2506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
| Dentist - General Practice — General Practice |
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