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Provider Information for 1275913535

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DAVID M. DATU D.D.S.

Gender: MALE

Individual NPI: 1275913535

Calendar   Last Updated:  2015-06-02
  Certification Date: 

Details

Name Value
NPI 1275913535
Enumeration Date 2015-06-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1107 E. LINCOLN AVE #201
ORANGE, CA 92865
United States

Phone: 714-998-2241 | Fax: 714-998-8124
View Map External Link
Primary Practice Address 1107 E. LINCOLN AVE #201
ORANGE, CA 92865
United States

Phone: 714-998-2241 | Fax: 714-998-8124
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 40568