| Appletree Dental | |
|
2170 W Lincoln Ave Anaheim CA 92801-5601 | |
| (424) 343-9009 | |
| Not Available |
| Full Name | Appletree Dental |
|---|---|
| Speciality | Dentist |
| Location | 2170 W Lincoln Ave, Anaheim, California |
| Authorized Official Name and Position | Mike M Kang (PRESIDENT) |
| Authorized Official Contact | 4243439009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appletree Dental 2170 W Lincoln Ave Anaheim CA 92801-5601 Ph: () - | Appletree Dental 2170 W Lincoln Ave Anaheim CA 92801-5601 Ph: (424) 343-9009 |
| NPI Number | 1821575416 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 07/26/2018 |
| Medicare PECOS PAC ID | 3678813250 |
|---|---|
| Medicare Enrollment ID | O20190318001966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821575416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45473 (California) | Primary |
| Provider Name | Mike M Kang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013130970 PECOS PAC ID: 7719208651 Enrollment ID: I20150818003921 |
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