| A A Family Dental Group | |
|
18102 Irvine Blvd Ste 205 Tustin CA 92780-3402 | |
| (714) 731-5656 | |
| (714) 731-2607 |
| Full Name | A A Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 18102 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Jasleen Brar (PRESIDENT) |
| Authorized Official Contact | 7147315656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A A Family Dental Group 18102 Irvine Blvd Ste 205 Tustin CA 92780 Ph: (714) 731-5656 | A A Family Dental Group 18102 Irvine Blvd Ste 205 Tustin CA 92780-3402 Ph: (714) 731-5656 |
| NPI Number | 1790900199 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 06/22/2018 |
| Medicare PECOS PAC ID | 5395093215 |
|---|---|
| Medicare Enrollment ID | O20180808002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790900199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43903 (California) | Primary |
| Provider Name | Jasleen K Brar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538233432 PECOS PAC ID: 5294083119 Enrollment ID: I20180808002421 |
| Provider Name | Rikim A Marfatia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316054240 PECOS PAC ID: 5395093033 Enrollment ID: I20180813000706 |
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