Provider Demographics
NPI:1053503342
Name:RUBEN H BEGINO DDS INC
Entity Type:Organization
Organization Name:RUBEN H BEGINO DDS INC
Other - Org Name:BRISTOL FAMILY DENTAL FAMILY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:HORACIO
Authorized Official - Last Name:BEGINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-540-7101
Mailing Address - Street 1:2618 S BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5727
Mailing Address - Country:US
Mailing Address - Phone:714-540-7101
Mailing Address - Fax:714-540-6061
Practice Address - Street 1:2618 S BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5727
Practice Address - Country:US
Practice Address - Phone:714-540-7101
Practice Address - Fax:714-540-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty