| Coastal Image Dental | |
|
2700 N Main St Suite 115 Santa Ana CA 92705-6634 | |
| (714) 571-0228 | |
| Not Available |
| Full Name | Coastal Image Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Daniel C Huang (PRESIDENT) |
| Authorized Official Contact | 7145710228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Image Dental 3991 Macarthur Blvd Ste 228 Newport Beach CA 92660-3058 Ph: (949) 863-0988 | Coastal Image Dental 2700 N Main St Suite 115 Santa Ana CA 92705-6634 Ph: (714) 571-0228 |
| NPI Number | 1598033250 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598033250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35907 (California) | Primary |
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