| Bryce D Nebeker Dds A Dental Corporation | |
|
1220 E Birch St Ste 101 Brea CA 92821-5155 | |
| (714) 529-5921 | |
| (714) 529-9609 |
| Full Name | Bryce D Nebeker Dds A Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1220 E Birch St Ste 101, Brea, California |
| Authorized Official Name and Position | Bryce D Nebeker (OWNER) |
| Authorized Official Contact | 7145295921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce D Nebeker Dds A Dental Corporation 1220 E Birch St Ste 101 Brea CA 92821-5155 Ph: (714) 529-5921 | Bryce D Nebeker Dds A Dental Corporation 1220 E Birch St Ste 101 Brea CA 92821-5155 Ph: (714) 529-5921 |
| NPI Number | 1669979142 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 8022368968 |
|---|---|
| Medicare Enrollment ID | O20180913002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669979142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59545 (California) | Primary |
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