| Bella Terra Dentistry | |
|
16261 Beach Blvd Huntington Beach CA 92647 | |
| (714) 847-2220 | |
| (714) 847-2243 |
| Full Name | Bella Terra Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 16261 Beach Blvd, Huntington Beach, California |
| Authorized Official Name and Position | Christina L Nguyen (PRESIDENT) |
| Authorized Official Contact | 7148472220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Terra Dentistry 16261 Beach Blvd Huntington Beach CA 92647 Ph: (714) 847-2220 | Bella Terra Dentistry 16261 Beach Blvd Huntington Beach CA 92647 Ph: (714) 847-2220 |
| NPI Number | 1306038278 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 9436462405 |
|---|---|
| Medicare Enrollment ID | O20150720002434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306038278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45301 (California) | Primary |
| Provider Name | Christina L Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497864250 PECOS PAC ID: 0345553319 Enrollment ID: I20150720002539 |
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