| Family Orthodontics | |
|
1101 Bryan Ave Suite C Tustin CA 92780-4401 | |
| (714) 544-0200 | |
| Not Available |
| Full Name | Family Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1101 Bryan Ave, Tustin, California |
| Authorized Official Name and Position | Ezz Dean Azzeh (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 7145440200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontics 1101 Bryan Ave Suite C Tustin CA 92780-4401 Ph: (714) 544-0200 | Family Orthodontics 1101 Bryan Ave Suite C Tustin CA 92780-4401 Ph: (714) 544-0200 |
| NPI Number | 1245553072 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 03/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245553072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 55883 (California) | Primary |
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