Organization · Type 2 NPI

109 Dental Group, Professional Corporation

General Practice Dentistry · Fountain Valley, CA

NPI number 1447156245 Active

Practice location

10900 Warner Ave Ste 109
Fountain Valley, CA 92708-3846

Call (714) 963-5634 Map

Mailing address

400 Mobil Ave Ste A4
Camarillo, CA 93010-6375

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1447156245

109 Dental Group, Professional Corporation's National Provider Identifier is 1447156245, issued on Oct 17, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fountain Valley, CA. The record was last updated on Oct 17, 2026.