Edward Nam Dental Corporation | |
1505 Shepard Dr Ste 202 Santa Maria CA 93454-7016 | |
(805) 925-1425 | |
Not Available |
Full Name | Edward Nam Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 1505 Shepard Dr Ste 202, Santa Maria, California |
Authorized Official Name and Position | Edward Nam (CEO DENTIST) |
Authorized Official Contact | 2136042816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edward Nam Dental Corporation 1505 Shepard Dr Ste 202 Santa Maria CA 93454-7016 Ph: (805) 925-1425 | Edward Nam Dental Corporation 1505 Shepard Dr Ste 202 Santa Maria CA 93454-7016 Ph: (805) 925-1425 |
NPI Number | 1013610732 |
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Provider Enumeration Date | 03/22/2023 |
Last Update Date | 03/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013610732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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