| Ipdo | |
|
4902 Irvine Center Dr Suite 111 Irvine CA 92604-3305 | |
| (949) 559-0674 | |
| (949) 559-7909 |
| Full Name | Ipdo |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4902 Irvine Center Dr, Irvine, California |
| Authorized Official Name and Position | David Bergeman Haag (PARTNER) |
| Authorized Official Contact | 9495590674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipdo 4902 Irvine Center Dr Suite 111 Irvine CA 92604-3305 Ph: (949) 559-0674 | Ipdo 4902 Irvine Center Dr Suite 111 Irvine CA 92604-3305 Ph: (949) 559-0674 |
| NPI Number | 1043330152 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043330152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 15673 (California) | Primary |
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