Dentistry Blossom

LBN: Dimple Manchandia Dds, Inc
Dentistry Blossom is an health care organization with primary practice located at 18102 Irvine Blvd Suite 200, Tustin CA 92780-3402. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dimple Manchandia Dds, Inc can be contacted via phone (714) 832-7220, or through Manchandia, Dimple via phone (714) 832-7220.

Contact Information

Primary practice address
18102 Irvine Blvd Suite 200 Tustin CA 92780-3402
Fax: (714) 832-7233
Website:
Authorized official contact:
Name: Manchandia, Dimple Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 46882 California

Profile Details

NPI number 1801196514
LBN Legal business name Dimple Manchandia Dds, Inc
DBA Doing business as Dentistry Blossom
Authorized official Manchandia, Dimple Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2010
Last updated Oct 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801196514 NPPES
California Other 1013085208 NPI #

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