West Coast Dental & Orthodontics, Adult & Kids Dental Group | |
2015 W 1st St Ste E Santa Ana CA 92703-3504 | |
(310) 820-9933 | |
(310) 820-0408 |
Full Name | West Coast Dental & Orthodontics, Adult & Kids Dental Group |
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Speciality | Dentist |
Location | 2015 W 1st St Ste E, Santa Ana, California |
Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
Authorized Official Contact | 3104094225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Coast Dental & Orthodontics, Adult & Kids Dental Group 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | West Coast Dental & Orthodontics, Adult & Kids Dental Group 2015 W 1st St Ste E Santa Ana CA 92703-3504 Ph: (310) 820-9933 |
NPI Number | 1811691710 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 02/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811691710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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