| |
8951 Knott Ave #l Buena Park CA 90620 | |
(714) 826-4181 | |
(714) 826-4488 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 8951 Knott Ave #l, Buena Park, California |
Authorized Official Name and Position | Sony Dao (CEO) |
Authorized Official Contact | 5596470996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8951 Knott Ave #l Buena Park CA 90620 Ph: (714) 826-4181 | 8951 Knott Ave #l Buena Park CA 90620 Ph: (714) 826-4181 |
NPI Number | 1811442072 |
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Provider Enumeration Date | 08/17/2016 |
Last Update Date | 07/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811442072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42991 (California) | Primary |
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