| Ceballos Professional Dental Corporation | |
|
965 S Beach Blvd Anaheim CA 92804-3983 | |
| (714) 527-2982 | |
| Not Available |
| Full Name | Ceballos Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 965 S Beach Blvd, Anaheim, California |
| Authorized Official Name and Position | Carla Vanessa Ceballos (DENTIST /0WNER) |
| Authorized Official Contact | 9142681016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceballos Professional Dental Corporation 965 S Beach Blvd Anaheim CA 92804-3983 Ph: (714) 527-2982 | Ceballos Professional Dental Corporation 965 S Beach Blvd Anaheim CA 92804-3983 Ph: (714) 527-2982 |
| NPI Number | 1194503243 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194503243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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