Brentwood Dental Center | |
12400 Euclid St Garden Grove CA 92840-3310 | |
(714) 537-1600 | |
(714) 537-1652 |
Full Name | Brentwood Dental Center |
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Speciality | Dentist |
Location | 12400 Euclid St, Garden Grove, California |
Authorized Official Name and Position | Alyssa K Tang (OWNER) |
Authorized Official Contact | 7145371600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brentwood Dental Center 12400 Euclid St Garden Grove CA 92840-3310 Ph: (714) 537-1600 | Brentwood Dental Center 12400 Euclid St Garden Grove CA 92840-3310 Ph: (714) 537-1600 |
NPI Number | 1760512842 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760512842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 48582 (California) | Primary |
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