Dat-minh Do Dds Professional Dental Corp | |
516 W Garvey Ave Monterey Park CA 91754-2704 | |
(626) 576-5933 | |
Not Available |
Full Name | Dat-minh Do Dds Professional Dental Corp |
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Speciality | Dentist |
Location | 516 W Garvey Ave, Monterey Park, California |
Authorized Official Name and Position | Dat-minh Do (DENTIST) |
Authorized Official Contact | 6265765933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dat-minh Do Dds Professional Dental Corp 516 W Garvey Ave Monterey Park CA 91754-2704 Ph: (626) 576-5933 | Dat-minh Do Dds Professional Dental Corp 516 W Garvey Ave Monterey Park CA 91754-2704 Ph: (626) 576-5933 |
NPI Number | 1346371820 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 01/17/2018 |
Medicare PECOS PAC ID | 2466710454 |
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Medicare Enrollment ID | O20180202001865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346371820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 32218 (California) | Primary |
Provider Name | Dat Minh Do |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1003992454 PECOS PAC ID: 8527363944 Enrollment ID: I20180202002066 |
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