Triphon, Theodora
Triphon, Theodora is an sole proprietor health care provider with primary practice located at 13297 Jamboree Rd , Tustin CA 92782-9159. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Triphon, Theodora can be contacted via phone (714) 730-6600.Contact Information
Primary practice address
13297 Jamboree Rd
Tustin CA 92782-9159
Phone: (714) 730-6600
Fax: (951) 776-1571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 104188 | California |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 104188 | California |
Profile Details
| NPI number | 1871090720 |
|---|---|
| LBN Legal business name | Triphon, Theodora |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2018 |
| Last updated | Jun 23rd, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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