| Main Street Family Dental | |
|
10971 Garden Grove Blvd Suite J Garden Grove CA 92843-1200 | |
| (714) 537-0550 | |
| (714) 537-2024 |
| Full Name | Main Street Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10971 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Timothy Thien Bui (PRESIDENT C.E.O.) |
| Authorized Official Contact | 7145370550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Dental 10971 Garden Grove Blvd Suite J Garden Grove CA 92843-1200 Ph: (714) 537-0550 | Main Street Family Dental 10971 Garden Grove Blvd Suite J Garden Grove CA 92843-1200 Ph: (714) 537-0550 |
| NPI Number | 1316003700 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316003700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34593 (California) | Primary |
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