| Beachside Dental Group | |
|
18800 Main St Ste 110 Huntington Beach CA 92648-1717 | |
| (714) 842-6151 | |
| (714) 842-6764 |
| Full Name | Beachside Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 18800 Main St, Huntington Beach, California |
| Authorized Official Name and Position | Mohdsameer Y Al-janedi (OWNER) |
| Authorized Official Contact | 3103868188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Dental Group 18800 Main St Ste 110 Huntington Beach CA 92648-1717 Ph: (714) 842-6151 | Beachside Dental Group 18800 Main St Ste 110 Huntington Beach CA 92648-1717 Ph: (714) 842-6151 |
| NPI Number | 1518122498 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518122498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41577 (California) | Primary |
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