| Ace Dental Specialties | |
|
2949 Brea Blvd A-2 Fullerton CA 92835-2073 | |
| (714) 987-3121 | |
| (714) 987-3120 |
| Full Name | Ace Dental Specialties |
|---|---|
| Speciality | Dentist |
| Location | 2949 Brea Blvd, Fullerton, California |
| Authorized Official Name and Position | Hossein Abdolhosseini (DENTIST) |
| Authorized Official Contact | 7149873121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Dental Specialties 2949 Brea Blvd A-2 Fullerton CA 92835-2073 Ph: (714) 987-3121 | Ace Dental Specialties 2949 Brea Blvd A-2 Fullerton CA 92835-2073 Ph: (714) 987-3121 |
| NPI Number | 1386035459 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/16/2016 |
| Medicare PECOS PAC ID | 4183051899 |
|---|---|
| Medicare Enrollment ID | O20200218003065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386035459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50715 (California) | Primary |
| Provider Name | Hossein Abdolhosseini |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093853020 PECOS PAC ID: 8224460662 Enrollment ID: I20191122002351 |
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