| Los Alamitos Periodontics & Dental Implants | |
|
4281 Katella Ave Ste 112 Los Alamitos CA 90720-3502 | |
| (714) 484-8700 | |
| Not Available |
| Full Name | Los Alamitos Periodontics & Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4281 Katella Ave Ste 112, Los Alamitos, California |
| Authorized Official Name and Position | Jeffrey J Mccullough (OWNER) |
| Authorized Official Contact | 7178778268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Alamitos Periodontics & Dental Implants 4281 Katella Ave Ste 112 Los Alamitos CA 90720-3502 Ph: (714) 484-8700 | Los Alamitos Periodontics & Dental Implants 4281 Katella Ave Ste 112 Los Alamitos CA 90720-3502 Ph: (714) 484-8700 |
| NPI Number | 1730672296 |
|---|---|
| Provider Enumeration Date | 06/10/2018 |
| Last Update Date | 06/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730672296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 62289 (California) | Primary |
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