| Haque Dental Corporation | |
|
17662 Irvine Blvd Ste 2 Tustin CA 92780-3132 | |
| (714) 505-0116 | |
| (714) 505-4443 |
| Full Name | Haque Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 17662 Irvine Blvd Ste 2, Tustin, California |
| Authorized Official Name and Position | Naz Haque (PRESIDENT) |
| Authorized Official Contact | 7145050123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haque Dental Corporation 2925 El Camino Real Tustin CA 92782-8909 Ph: (714) 505-0123 | Haque Dental Corporation 17662 Irvine Blvd Ste 2 Tustin CA 92780-3132 Ph: (714) 505-0116 |
| NPI Number | 1538722087 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538722087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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