| Almodovar Dentistry, Inc. | |
|
1503 S Coast Dr Ste 200 Costa Mesa CA 92626-1546 | |
| (714) 546-3000 | |
| Not Available |
| Full Name | Almodovar Dentistry, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1503 S Coast Dr Ste 200, Costa Mesa, California |
| Authorized Official Name and Position | Drew Anthony Almodovar (PRESIDENT) |
| Authorized Official Contact | 7146142854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Almodovar Dentistry, Inc. 9161 Guss Dr Huntington Beach CA 92646-4604 Ph: (714) 614-2854 | Almodovar Dentistry, Inc. 1503 S Coast Dr Ste 200 Costa Mesa CA 92626-1546 Ph: (714) 546-3000 |
| NPI Number | 1225747801 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225747801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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