| Kevin J Fortier Dds & Thuy T Fortier Dds Inc | |
|
408 S Beach Blvd Ste 207 Anaheim CA 92804-1882 | |
| (714) 828-8558 | |
| (714) 828-8858 |
| Full Name | Kevin J Fortier Dds & Thuy T Fortier Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 408 S Beach Blvd Ste 207, Anaheim, California |
| Authorized Official Name and Position | Thuy T Fortier (DENTIST OWNER OF CORPORATION) |
| Authorized Official Contact | 7148988552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Fortier Dds & Thuy T Fortier Dds Inc 408 S Beach Blvd Ste 207 Anaheim CA 92804-1882 Ph: (714) 828-8558 | Kevin J Fortier Dds & Thuy T Fortier Dds Inc 408 S Beach Blvd Ste 207 Anaheim CA 92804-1882 Ph: (714) 828-8558 |
| NPI Number | 1770572059 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770572059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41880 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 41831 (California) | Primary |
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