| Old Towne Dental Group | |
|
262 S Glassell St Orange CA 92866-1918 | |
| (714) 288-0058 | |
| (714) 288-0061 |
| Full Name | Old Towne Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 262 S Glassell St, Orange, California |
| Authorized Official Name and Position | Thu Anh Tran (PRESIDENT) |
| Authorized Official Contact | 7142880058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Towne Dental Group 262 S Glassell St Orange CA 92866-1918 Ph: (714) 288-0058 | Old Towne Dental Group 262 S Glassell St Orange CA 92866-1918 Ph: (714) 288-0058 |
| NPI Number | 1497105175 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497105175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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