17th Street Modern Dentistry Dental Group Dental Clinic

Get detailed information about 17th Street Modern Dentistry Dental Group dental clinic in Irvine California.
17th Street Modern Dentistry Dental Group (CLINT WALKER DENTAL CORPORATION) is a Dental Clinic in Costa Mesa, California. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for 17th Street Modern Dentistry Dental Group is 1790273829.

The current location address for 17th Street Modern Dentistry Dental Group is 270 E 17th St Ste 15, , Costa Mesa, California and the contact number is 714-224-0480 and fax number is 714-224-0480. The mailing address for 17th Street Modern Dentistry Dental Group is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - --).


Provider Profile Details:
Clinic Name17th Street Modern Dentistry Dental Group
Provider OrganizationCLINT WALKER DENTAL CORPORATION
Address270 E 17th St Ste 15, ,
Costa Mesa
California, 92627-3845
Phone Number714-224-0480
Fax Number714-224-0480
Authorized Official NameClint Walker
Authorized Official Title/PositionOwner
Authorized Official Contact Number714-224-0480
NPI Number Details:
NPI Number1790273829
Provider Enumeration Date04/24/2018
Last Update Date17/03/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number--
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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