| El Portal Dental Group | |
|
3393 G St Suite B Merced CA 95340-0964 | |
| (209) 385-1479 | |
| (209) 723-7087 |
| Full Name | El Portal Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3393 G St, Merced, California |
| Authorized Official Name and Position | Khang Cong Nguyen (CEO) |
| Authorized Official Contact | 2093851479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Portal Dental Group 3393 G St Suite B Merced CA 95340-0964 Ph: (209) 385-1479 | El Portal Dental Group 3393 G St Suite B Merced CA 95340-0964 Ph: (209) 385-1479 |
| NPI Number | 1356488829 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356488829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51984 (California) | Primary |
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