| Ab Dental Center | |
|
10106 Adams Ave Huntington Beach CA 92646-4907 | |
| (714) 962-7797 | |
| (714) 965-3766 |
| Full Name | Ab Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10106 Adams Ave, Huntington Beach, California |
| Authorized Official Name and Position | Manolet Santos (PRESIDENT) |
| Authorized Official Contact | 9512566782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ab Dental Center 10106 Adams Ave Huntington Beach CA 92646-4907 Ph: (714) 962-7797 | Ab Dental Center 10106 Adams Ave Huntington Beach CA 92646-4907 Ph: (714) 962-7797 |
| NPI Number | 1134589070 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 9638439631 |
|---|---|
| Medicare Enrollment ID | O20180213001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134589070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56775 (California) | Primary |
| Provider Name | Manolet Bias Santos |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699952887 PECOS PAC ID: 0547520546 Enrollment ID: I20180213001922 |
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