Provider Demographics
NPI:1629124011
Name:AMELIA RAMIREZ ORDUNA DDS INC
Entity Type:Organization
Organization Name:AMELIA RAMIREZ ORDUNA DDS INC
Other - Org Name:TUSTIN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO DDS
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:RAMIREZ
Authorized Official - Last Name:ORDUNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-838-7570
Mailing Address - Street 1:17292 MCFADDEN AVE
Mailing Address - Street 2:SUITE # F
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-5523
Mailing Address - Country:US
Mailing Address - Phone:714-838-7570
Mailing Address - Fax:714-505-9105
Practice Address - Street 1:17292 MCFADDEN AVE
Practice Address - Street 2:SUITE # F
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-5523
Practice Address - Country:US
Practice Address - Phone:714-838-7570
Practice Address - Fax:714-505-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48356122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty