| Anna K Talmood Dds Inc | |
|
1019 N Harbor Blvd Fullerton CA 92832-1310 | |
| (714) 992-0300 | |
| (714) 992-2724 |
| Full Name | Anna K Talmood Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1019 N Harbor Blvd, Fullerton, California |
| Authorized Official Name and Position | Anna Khodadadeh Talmood (DOCTOR) |
| Authorized Official Contact | 7149920300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna K Talmood Dds Inc 1019 N Harbor Blvd Fullerton CA 92832-1310 Ph: (714) 992-0300 | Anna K Talmood Dds Inc 1019 N Harbor Blvd Fullerton CA 92832-1310 Ph: (714) 992-0300 |
| NPI Number | 1114104452 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 05/31/2017 |
| Medicare PECOS PAC ID | 0749557882 |
|---|---|
| Medicare Enrollment ID | O20170522001234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114104452 | NPI | - | NPPES |
| D41931 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D41931 (California) | Primary |
| Provider Name | Anna K Talmood |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184786790 PECOS PAC ID: 8527340819 Enrollment ID: I20170531001263 |
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