Mary M. Jew Dds, A Professional Organization in Tustin - Periodontics
Mary M. Jew Dds, A Professional Organization - NPI 1790993913
Mary M. Jew Dds, A Professional Organization is a Periodontics in Tustin, California. Mary M. Jew Dds, A Professional Organization practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mary M. Jew Dds, A Professional Organization is 1790993913. The last update date is 2010-02-04.
Mary M. Jew Dds, A Professional Organization's current location address is 18102 Irvine Blvd, Tustin, California. You can contact this provider via phone number 7148380870 and fax number 7148381033. The mailing address for Mary M. Jew Dds, A Professional Organization is 18102 Irvine Blvd, Tustin, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mary M. Jew Dds, A Professional Organization |
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Address | 18102 Irvine Blvd, Tustin, California |
Phone Number | 7148380870 |
Fax Number | 7148381033 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Jew Mary |
Telephone Number | 7148380870 |
NPI Number Detail
NPI Number | 1790993913 |
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Provider Enumeration Date | 2007-05-19 |
Last Updated Date | 2010-02-04 |
Provider Mailing Address Detail
Address | 18102 Irvine Blvd |
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City | Tustin |
State | California (CA) |
Post Code | 927803402 |
Phone Number | 7148380870 |
Fax Number | 7148381033 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 35410 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Mary M. Jew Dds, A Professional Organization by the Centers for Medicare & Medicaid Services?
The Mary M. Jew Dds, A Professional Organization has been assigned the NPI (National Provider Identifier) 1790993913. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary M. Jew Dds, A Professional Organization's facilities are situated?
The facilities of Mary M. Jew Dds, A Professional Organization are physically located at the following address: 18102 Irvine Blvd, Tustin, CA, 927803402.
What is the area of specialization for Mary M. Jew Dds, A Professional Organization, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary M. Jew Dds, A Professional Organization is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790993913 to Mary M. Jew Dds, A Professional Organization?
The Centers for Medicare & Medicaid Services assigned the 1790993913 to Mary M. Jew Dds, A Professional Organization on 2007-05-19.
When was the information pertaining to Mary M. Jew Dds, A Professional Organization most recently updated or revised?
The details related to Mary M. Jew Dds, A Professional Organization, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-04.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC