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1003548173
ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
IRVINE, CA
NPI
1003548173
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Entity Type
Organization
Authorized Contact
ALAN BOVAL
Chief Executive Officer
562-356-0948
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
113 WATERWORKS WAY 355
IRVINE, CA 92618-1367
Phone number: 562-356-0948
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Mailing Address
ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
901 W. WHITTIER BLVD
LA HABRA, CA 90631-3743
Phone number: 562-356-0948
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