| Lotus Dental Specialists | |
|
9039 Bolsa Avenue, Ste 116 Westminster CA 92683 | |
| (714) 379-2560 | |
| Not Available |
| Full Name | Lotus Dental Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9039 Bolsa Avenue, Ste 116, Westminster, California |
| Authorized Official Name and Position | Son Van Nguyen (DENTIST) |
| Authorized Official Contact | 7143792560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Dental Specialists 9039 Bolsa Ave Ste 116 Westminster CA 92683-5593 Ph: (714) 379-2560 | Lotus Dental Specialists 9039 Bolsa Avenue, Ste 116 Westminster CA 92683 Ph: (714) 379-2560 |
| NPI Number | 1649679762 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649679762 | NPI | - | NPPES |
| G93065-02 | Other | CA | DENITCAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 43049 (California) | Primary |
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