| Arcadia Medi-dental Group | |
|
311 E Live Oak Ave Arcadia CA 91006-5618 | |
| (626) 478-7618 | |
| (626) 821-0996 |
| Full Name | Arcadia Medi-dental Group |
|---|---|
| Speciality | Dentist |
| Location | 311 E Live Oak Ave, Arcadia, California |
| Authorized Official Name and Position | Lan Ngoc Thi Vo (PRESIDENT) |
| Authorized Official Contact | 6264787618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcadia Medi-dental Group 311 E Live Oak Ave Arcadia CA 91006-5618 Ph: (626) 348-8563 | Arcadia Medi-dental Group 311 E Live Oak Ave Arcadia CA 91006-5618 Ph: (626) 478-7618 |
| NPI Number | 1487145090 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 3072946276 |
|---|---|
| Medicare Enrollment ID | O20191202001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487145090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58563 (California) | Primary |
| Provider Name | Ngoc L Vo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679706766 PECOS PAC ID: 3678737236 Enrollment ID: I20130208000174 |
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