| Heungki Min Dds A Professional Corp | |
|
5881 Beach Blvd Buena Park CA 90621-2021 | |
| (714) 266-0378 | |
| (714) 266-0385 |
| Full Name | Heungki Min Dds A Professional Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 5881 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Heungki Min (PRESIDENT) |
| Authorized Official Contact | 7142660378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heungki Min Dds A Professional Corp 5881 Beach Blvd Buena Park CA 90621-2021 Ph: (714) 266-0378 | Heungki Min Dds A Professional Corp 5881 Beach Blvd Buena Park CA 90621-2021 Ph: (714) 266-0378 |
| NPI Number | 1205305992 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 11/27/2018 |
| Medicare PECOS PAC ID | 3173860814 |
|---|---|
| Medicare Enrollment ID | O20190204000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205305992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Heungki Min |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184110140 PECOS PAC ID: 4082951728 Enrollment ID: I20190204000530 |
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