Provider Demographics
NPI:1205291986
Name:ORDUNA-COE, AMELIA (DDS)
Entity type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:
Last Name:ORDUNA-COE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:AMELIA
Other - Middle Name:RAMIREZ
Other - Last Name:ORDUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
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
Practice Address - Country:US
Practice Address - Phone:714-838-7570
Practice Address - Fax:714-501-9105
Is Sole Proprietor?:No
Enumeration Date:2015-12-22
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48356122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist