|
| |
|
2263 Fairview Rd Ste K Costa Mesa CA 92627-1672 | |
| (949) 515-9280 | |
| (949) 515-9289 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2263 Fairview Rd Ste K, Costa Mesa, California |
| Authorized Official Name and Position | Derek Dungquang Duong (PRESIDENT) |
| Authorized Official Contact | 9495159280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2263 Fairview Rd Ste K Costa Mesa CA 92627-1672 Ph: (949) 515-9280 | 2263 Fairview Rd Ste K Costa Mesa CA 92627-1672 Ph: (949) 515-9280 |
| NPI Number | 1144370768 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 12/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144370768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48906 (California) | Primary |
Michael Ayzin Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Bristol St Ste 120, Costa Mesa, CA 92626 Phone: 714-540-5511 Fax: 714-540-1733 | |
Sukut Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Bristol St, Suite C-102, Costa Mesa, CA 92626 Phone: 714-540-6852 Fax: 714-540-8066 | |
Carlos F Garcia Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Baker St A4, Costa Mesa, CA 92626 Phone: 714-545-9990 Fax: 714-545-7108 | |
Farzin Mehrdad D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Baker St, A-4, Costa Mesa, CA 92626 Phone: 714-545-9990 Fax: 714-545-7108 | |
Saghatchi Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1835 Newport Blvd Ste E267, Costa Mesa, CA 92627 Phone: 949-574-0100 Fax: 949-574-0101 |