| Brookhurst Dental Group | |
|
12132 Brookhurst St Garden Grove CA 92840-2817 | |
| (714) 638-7111 | |
| (714) 638-7114 |
| Full Name | Brookhurst Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12132 Brookhurst St, Garden Grove, California |
| Authorized Official Name and Position | Vinod G Rana (PRESIDENT) |
| Authorized Official Contact | 7146387111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhurst Dental Group 12132 Brookhurst St Garden Grove CA 92840-2817 Ph: (714) 638-7111 | Brookhurst Dental Group 12132 Brookhurst St Garden Grove CA 92840-2817 Ph: (714) 638-7111 |
| NPI Number | 1295920569 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295920569 | NPI | - | NPPES |
| B33359-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33359 (California) | Primary |
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