| Dr. Ly Vina Dental Group | |
|
8481 Heil Ave Ste B Westminster CA 92683-7848 | |
| (714) 305-5199 | |
| Not Available |
| Full Name | Dr. Ly Vina Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8481 Heil Ave Ste B, Westminster, California |
| Authorized Official Name and Position | Quy Van Ly (PRESIDENT) |
| Authorized Official Contact | 7143055199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ly Vina Dental Group 8481 Heil Ave Ste B Westminster CA 92683-7848 Ph: (714) 305-5199 | Dr. Ly Vina Dental Group 8481 Heil Ave Ste B Westminster CA 92683-7848 Ph: (714) 305-5199 |
| NPI Number | 1720495849 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720495849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40665 (California) | Primary |
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