Acevedo Dental Office, Inc.
Organization Active NPI General Practice Dentistry · Santa Ana, CA
NPI 1790201762 · NPPES record last updated Aug 21, 2017
Key facts
- NPI
- 1790201762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 55423 (CA)
- Legal business name
- ACEVEDO DENTAL OFFICE, INC.
- Practice address
- 2800 N Main St Unit 1010
Santa Ana, CA 92705-6608 - Phone
- (714) 617-7979
- Fax
- (714) 617-7278
- NPI assigned
- Aug 21, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- ACEVEDO DENTAL OFFICE INC.
Authorized official
- Name
- Lidya Soraya Acevedo, D.D.S
- Title
- Owner
- Phone
- (323) 724-1010
Practitioners 2
National Provider Directory
- Part of
- Acevedo Dental Office Inc
Locations
2800 N Main St
Unit 1010
Santa Ana, CA 92705
Phone (714) 617-7979
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 55423 | CA | Yes |
Addresses
Primary practice location
2800 N Main St Unit 1010
Santa Ana, CA 92705-6608
Mailing address
2800 N Main St Unit 1010
Santa Ana, CA 92705-6608
Phone (714) 617-7979
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.