Provider Demographics
NPI:1780906784
Name:JANNETTE F. TRENT,DMD - A PROFESSIONAL DENTAL CORP
Entity type:Organization
Organization Name:JANNETTE F. TRENT,DMD - A PROFESSIONAL DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANNETTE
Authorized Official - Middle Name:FERNANDEZ
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:714-772-3538
Mailing Address - Street 1:1751 W ROMNEYA DR
Mailing Address - Street 2:SUITE-D
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1815
Mailing Address - Country:US
Mailing Address - Phone:714-772-3538
Mailing Address - Fax:714-772-9624
Practice Address - Street 1:1751 W ROMNEYA DR
Practice Address - Street 2:SUITE-D
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1815
Practice Address - Country:US
Practice Address - Phone:714-772-3538
Practice Address - Fax:714-772-9624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental