Grigory Rozenvich DDS, Inc
Grigory Rozenvich DDS, Inc is an Exclusive Provider Organization in Santa Ana, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3620 S Bristol St Ste 210Santa Ana, CA 92704
Phone: (714) 549-1409
Fax: (714) 549-2118
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 40115 (CA) |
|---|
Record details
| NPI number | 1912196171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Grigory Rozenovich — President · (714) 549-1409 |
| NPI enumerated | October 23, 2007 |
| Last updated in NPPES | May 6, 2015 |
| Mailing address | 3620 S. Bristol St., Suite 210, Santa Ana, CA 92704 |
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