| Dream Dental Place | |
|
11031 Acacia Pkwy Garden Grove CA 92840-5126 | |
| (714) 982-2273 | |
| Not Available |
| Full Name | Dream Dental Place |
|---|---|
| Speciality | Dentist |
| Location | 11031 Acacia Pkwy, Garden Grove, California |
| Authorized Official Name and Position | Anh D Hoang (DENTIST) |
| Authorized Official Contact | 7149822273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Dental Place 11031 Acacia Pkwy Garden Grove CA 92840-5126 Ph: (714) 982-2273 | Dream Dental Place 11031 Acacia Pkwy Garden Grove CA 92840-5126 Ph: (714) 982-2273 |
| NPI Number | 1316282825 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 9537390588 |
|---|---|
| Medicare Enrollment ID | O20140317000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316282825 | NPI | - | NPPES |
| W170396844 | Other | CA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55573 (California) | Primary |
| Provider Name | Anh D Hoang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134346257 PECOS PAC ID: 0446481493 Enrollment ID: I20140317000442 |
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