Santa Ana Magic Smile

LBN: Gutierrez, Vicencio, Dominguez Dds Inc
Santa Ana Magic Smile is an health care organization with primary practice located at 2112 N Main St Suite # 100, Santa Ana CA 92706-2739. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Gutierrez, Vicencio, Dominguez Dds Inc can be contacted via phone (714) 835-6677, or through Gutierrez, Martha L. via phone (714) 835-6677.

Contact Information

Primary practice address
2112 N Main St Suite # 100 Santa Ana CA 92706-2739
Fax: (714) 558-6892
Website:
Authorized official contact:
Name: Gutierrez, Martha L. Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D44176 California

Profile Details

NPI number 1386830438
LBN Legal business name Gutierrez, Vicencio, Dominguez Dds Inc
DBA Doing business as Santa Ana Magic Smile
Authorized official Gutierrez, Martha L. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2007
Last updated Sep 22nd, 2007 - about 17 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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