| Image Dental | |
|
1310 Bison Ave Newport Beach CA 92660-9070 | |
| (949) 760-0363 | |
| (949) 760-0365 |
| Full Name | Image Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1310 Bison Ave, Newport Beach, California |
| Authorized Official Name and Position | Steve Quoc Ngo (CEO) |
| Authorized Official Contact | 7025019863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image Dental 10 Ingleside Irvine CA 92620-2890 Ph: (949) 760-0363 | Image Dental 1310 Bison Ave Newport Beach CA 92660-9070 Ph: (949) 760-0363 |
| NPI Number | 1497993265 |
|---|---|
| Provider Enumeration Date | 01/31/2009 |
| Last Update Date | 01/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497993265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44425 (California) | Primary |
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