Provider Demographics
NPI:1164655858
Name:OREST FRANGOPOL, A DENTAL CORPORATION
Entity Type:Organization
Organization Name:OREST FRANGOPOL, A DENTAL CORPORATION
Other - Org Name:DENTAL ARTS CENTER OF IRVINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORP SEC/OFC MGR
Authorized Official - Prefix:
Authorized Official - First Name:CYMBREE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CARACENA
Authorized Official - Suffix:
Authorized Official - Credentials:BSBA
Authorized Official - Phone:949-713-6720
Mailing Address - Street 1:62 CORPORATE PARK
Mailing Address - Street 2:SUITE 210
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-3122
Mailing Address - Country:US
Mailing Address - Phone:949-261-7500
Mailing Address - Fax:949-261-7502
Practice Address - Street 1:26111 ANTONIO PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-5596
Practice Address - Country:US
Practice Address - Phone:949-713-6720
Practice Address - Fax:949-713-6721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA495191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty