| Central Coast Dental | |
|
871 Oak Park Blvd Pismo Beach CA 93449-3292 | |
| (805) 481-3433 | |
| Not Available |
| Full Name | Central Coast Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 871 Oak Park Blvd, Pismo Beach, California |
| Authorized Official Name and Position | Don Q Tran (OWNER) |
| Authorized Official Contact | 8054813433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Dental 871 Oak Park Blvd Pismo Beach CA 93449-3292 Ph: (805) 481-3433 | Central Coast Dental 871 Oak Park Blvd Pismo Beach CA 93449-3292 Ph: (805) 481-3433 |
| NPI Number | 1114254166 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114254166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49015 (California) | Primary |
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