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DIMPLE MANCHANDIA DDS INC NPI 1801196514


NPI Information

NPI: 1801196514
Provider Name: DIMPLE MANCHANDIA DDS, INC

Doing Business As: DENTISTRY BLOSSOM

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
18102 IRVINE BLVD
SUITE 200
TUSTIN, CA
ZIP 92780
Phone: (714) 832-7220
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DIMPLE MANCHANDIA DDS, INC is a general practice dentist in Tustin, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DIMPLE MANCHANDIA DDS, INC NPI is 1801196514. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dentistry Blossom.

The provider's business location address is:

18102 IRVINE BLVD
SUITE 200
TUSTIN, CA
ZIP 92780-402
Phone: (714) 832-7220
Fax: (714) 832-7233

The provider's authorized official is Dimple Manchandia .
The authorized official title is Owner Dentist and has the following contact phone number (714) 832-7220.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 10/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice46882CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013085208OTHERCALIFORNIANPI #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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