Provider Demographics
NPI:1922392034
Name:URENA, FELIX ENRIQUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:ENRIQUE
Last Name:URENA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 DAYNA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4403
Mailing Address - Country:US
Mailing Address - Phone:646-837-1652
Mailing Address - Fax:
Practice Address - Street 1:906 DAYNA ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4403
Practice Address - Country:US
Practice Address - Phone:646-837-1652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA601171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice