Nilar Thein Dds A Professional Corporation | |
17540 Yorba Linda Blvd Yorba Linda CA 92886-3825 | |
(714) 996-4057 | |
(714) 996-4158 |
Full Name | Nilar Thein Dds A Professional Corporation |
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Speciality | Dentist |
Location | 17540 Yorba Linda Blvd, Yorba Linda, California |
Authorized Official Name and Position | Nilar Thein (DENTIST OWNER) |
Authorized Official Contact | 7149964057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nilar Thein Dds A Professional Corporation 17540 Yorba Linda Blvd Yorba Linda CA 92886-3825 Ph: (714) 996-4057 | Nilar Thein Dds A Professional Corporation 17540 Yorba Linda Blvd Yorba Linda CA 92886-3825 Ph: (714) 996-4057 |
NPI Number | 1164632923 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 10/21/2019 |
Medicare PECOS PAC ID | 0648602037 |
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Medicare Enrollment ID | O20191125001163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164632923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D48037 (California) | Primary |
Provider Name | Pyi Soe |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1508918699 PECOS PAC ID: 3375975766 Enrollment ID: I20200110001755 |
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