| Dental Pacifica | |
|
3340 W Ball Rd Ste G Anaheim CA 92804-3729 | |
| (714) 484-4636 | |
| (714) 484-4638 |
| Full Name | Dental Pacifica |
|---|---|
| Speciality | Dentist |
| Location | 3340 W Ball Rd Ste G, Anaheim, California |
| Authorized Official Name and Position | Trangkhanh T Vu (CO-OWNER) |
| Authorized Official Contact | 7144844636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Pacifica 3340 W Ball Rd Ste G Anaheim CA 92804-3729 Ph: (714) 484-4636 | Dental Pacifica 3340 W Ball Rd Ste G Anaheim CA 92804-3729 Ph: (714) 484-4636 |
| NPI Number | 1023132677 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023132677 | NPI | - | NPPES |
| 53288 | Other | CA | LICENSE # |
| 47645 | Other | CA | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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