| Axiom Dental Care | |
|
16 Ivanhoe Irvine CA 92602-2034 | |
| (323) 489-7717 | |
| (323) 489-7718 |
| Full Name | Axiom Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 16 Ivanhoe, Irvine, California |
| Authorized Official Name and Position | Yahya Malek Mansour (OWNER/CEO) |
| Authorized Official Contact | 9512010144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axiom Dental Care 16 Ivanhoe Irvine CA 92602-2034 Ph: (714) 222-2261 | Axiom Dental Care 16 Ivanhoe Irvine CA 92602-2034 Ph: (323) 489-7717 |
| NPI Number | 1275036931 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275036931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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