Apple Dental Center | |
19190 Us Highway 18 Suite A Apple Valley CA 92307-2558 | |
(760) 242-7753 | |
(760) 946-1122 |
Full Name | Apple Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 19190 Us Highway 18, Apple Valley, California |
Authorized Official Name and Position | Farhad Mazi (PRESIDENT DENTIST) |
Authorized Official Contact | 7602427753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Apple Dental Center 19190 Us Highway 18 Suite A Apple Valley CA 92307-2558 Ph: (760) 242-7753 | Apple Dental Center 19190 Us Highway 18 Suite A Apple Valley CA 92307-2558 Ph: (760) 242-7753 |
NPI Number | 1063543577 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 07/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063543577 | NPI | - | NPPES |
G89141-01 | Medicaid | CA | |
G92354-01 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 48832 (California) | Primary |
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