| 21 Dental Group | |
|
21 W Duarte Rd Ste A Arcadia CA 91007-6969 | |
| (626) 821-9970 | |
| (626) 821-0996 |
| Full Name | 21 Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 21 W Duarte Rd Ste A, Arcadia, California |
| Authorized Official Name and Position | Ngoc Lan Vo (PRESIDENT) |
| Authorized Official Contact | 6268219970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 21 Dental Group 21 W Duarte Rd Ste A Arcadia CA 91007-6969 Ph: (626) 821-9970 | 21 Dental Group 21 W Duarte Rd Ste A Arcadia CA 91007-6969 Ph: (626) 821-9970 |
| NPI Number | 1891001566 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 06/23/2021 |
| Medicare PECOS PAC ID | 6800159963 |
|---|---|
| Medicare Enrollment ID | O20180424002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891001566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Ngoc L Vo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679706766 PECOS PAC ID: 3678737236 Enrollment ID: I20130208000174 |
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