| Dental Art Of Irvine | |
|
4330 Barranca Pkwy Suite 200 Irvine CA 92604-4755 | |
| (949) 551-5600 | |
| (949) 551-5648 |
| Full Name | Dental Art Of Irvine |
|---|---|
| Speciality | Clinic/Center |
| Location | 4330 Barranca Pkwy, Irvine, California |
| Authorized Official Name and Position | Xerxez Megino Calilung (DENTIST) |
| Authorized Official Contact | 9495515600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Art Of Irvine 4330 Barranca Pkwy Suite 200 Irvine CA 92604-4755 Ph: (949) 551-5600 | Dental Art Of Irvine 4330 Barranca Pkwy Suite 200 Irvine CA 92604-4755 Ph: (949) 551-5600 |
| NPI Number | 1902240666 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 12/17/2021 |
| Medicare PECOS PAC ID | 9133510175 |
|---|---|
| Medicare Enrollment ID | O20211229001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902240666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38167 (California) | Primary |
| Provider Name | Xerxez Megino Calilung |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275649600 PECOS PAC ID: 1951792993 Enrollment ID: I20220105001904 |
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