| Ace Dental Group | |
|
1007 W La Palma Ave Ste 3 Anaheim CA 92801-3620 | |
| (714) 778-6160 | |
| Not Available |
| Full Name | Ace Dental Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 W La Palma Ave Ste 3, Anaheim, California |
| Authorized Official Name and Position | Daye Jang (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2135689681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Dental Group 1007 W La Palma Ave Ste 3 Anaheim CA 92801-3620 Ph: (714) 778-6160 | Ace Dental Group 1007 W La Palma Ave Ste 3 Anaheim CA 92801-3620 Ph: (714) 778-6160 |
| NPI Number | 1144736125 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 9335487321 |
|---|---|
| Medicare Enrollment ID | O20190218001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144736125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jun Cheong |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023314259 PECOS PAC ID: 0244578243 Enrollment ID: I20190218001696 |
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