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2424 W Ball Rd Suite L Anaheim CA 92804-5272 | |
| (714) 826-9000 | |
| (714) 827-8000 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2424 W Ball Rd, Anaheim, California |
| Authorized Official Name and Position | Nizar Alteir (CEO) |
| Authorized Official Contact | 7148269000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2424 W Ball Rd Suite L Anaheim CA 92804-5272 Ph: (714) 826-9000 | 2424 W Ball Rd Suite L Anaheim CA 92804-5272 Ph: (714) 826-9000 |
| NPI Number | 1235378860 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 07/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235378860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41339 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 39783 (California) | Primary |
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