| Dr Samuel Dental Corp | |
|
13011 Newport Ave Tustin CA 92780-3524 | |
| (714) 699-6838 | |
| Not Available |
| Full Name | Dr Samuel Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13011 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Akram Samuel (OWNER) |
| Authorized Official Contact | 7146996838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Dental Corp 13662 Estero Cir Tustin CA 92780-4556 Ph: (714) 699-6838 | Dr Samuel Dental Corp 13011 Newport Ave Tustin CA 92780-3524 Ph: (714) 699-6838 |
| NPI Number | 1164128237 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164128237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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