| Organization Name: | GEORGE XENAKIS, DDS, PC |
| NPI Number: | 1003276809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE XENAKIS (OWNER) |
| Mailing Address: | 1227 W 17th St Santa Ana |
| State: | CA US |
| Postal Code: | 927063455 |
| Phone Number: | 7148811441 |
| Fax Number: | 7148811448 |
| NPI Enumeration Date: | 03/07/2016 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 64232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |