Organization · Type 2 NPI
Hercules Joel Real, D.m.d., Inc.
Dental Clinic/Center · Fullerton, CA
NPI number
1700926516
Active
Practice location
1235 N Harbor Blvd, Suite 100
Fullerton, CA 92832-1355
Fax (714) 525-2123
Mailing address
1235 N. Harbor Blvd., Suite 100
Fullerton, CA 92832-1323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 48359 (CA) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1700926516
Hercules Joel Real, D.m.d., Inc.'s National Provider Identifier is 1700926516, issued on Feb 8, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fullerton, CA. The record was last updated on Mar 6, 2014.