| Atlantic Place Dental Office | |
|
111 N. Atlantic Blvd. Suite 246 Monterey Park CA 91754-1579 | |
| (626) 576-1128 | |
| (626) 576-1988 |
| Full Name | Atlantic Place Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 N. Atlantic Blvd., Monterey Park, California |
| Authorized Official Name and Position | Zhibin Qiu (OWNER) |
| Authorized Official Contact | 6265761128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Place Dental Office 111 N. Atlantic Blvd. Suite 246 Monterey Park CA 91754-1579 Ph: (626) 576-1128 | Atlantic Place Dental Office 111 N. Atlantic Blvd. Suite 246 Monterey Park CA 91754-1579 Ph: (626) 576-1128 |
| NPI Number | 1508966078 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508966078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44991 (California) | Primary |
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