| Adrian Acosta Dds, A Professional Dental Corporation | |
|
4600 Beach Blvd Ste A Buena Park CA 90621 | |
| (714) 522-5565 | |
| Not Available |
| Full Name | Adrian Acosta Dds, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 4600 Beach Blvd Ste A, Buena Park, California |
| Authorized Official Name and Position | Alan Boval (TREASURER) |
| Authorized Official Contact | 5625521344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Acosta Dds, A Professional Dental Corporation 901 W. Whittler Blvd La Habra CA 90631 Ph: (562) 356-0948 | Adrian Acosta Dds, A Professional Dental Corporation 4600 Beach Blvd Ste A Buena Park CA 90621 Ph: (714) 522-5565 |
| NPI Number | 1275197733 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275197733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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