Diaz Aguda and Dumulo General Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42647 Issued in CA

Legal business name

DIAZ AGUDA AND DUMULO GENERAL PARTNERSHIP

Practice address

13212 Harbor Blvd
Garden Grove, CA 92843-1737

Phone

(714) 638-9999

Fax

(714) 638-0697

NPI assigned

Nov 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Arceli Perez Diaz, DDS

Title

Dentist/Partner-Owner

Phone

(714) 638-9999

Specialties & licenses 1

Addresses

Other names 1

• Jade Family Dental Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1982904355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13212 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "714-638-9999",
            "fax_number": "714-638-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13212 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "714-638-9999",
            "fax_number": "714-638-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ AGUDA AND DUMULO GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ARCELI",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "DENTIST/PARTNER-OWNER",
        "authorized_official_telephone_number": "714-638-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jade Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naveen Dhar, M.D.
• Sweety Rani Dhar
• Usha Dhar, M.D.
• Diagnostic Laboratory Science, Inc
• Tracy Jane Diana, LVN
• Bianca Sheree Diaz
• Elvia Correa Diaz, L.C.S.W.
• George Diaz
• Henry Francisco Diaz
• Laura Diaz

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.