| Medical Center Dental Group | |
|
11160 Warner Ave Ste 303 Fountain Valley CA 92708 | |
| (714) 557-8492 | |
| Not Available |
| Full Name | Medical Center Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 11160 Warner Ave Ste 303, Fountain Valley, California |
| Authorized Official Name and Position | Gregory Le (PRESIDENT/OWNER) |
| Authorized Official Contact | 7144950741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Dental Group 11160 Warner Ave Ste 303 Fountain Valley CA 92708-4055 Ph: (714) 557-8492 | Medical Center Dental Group 11160 Warner Ave Ste 303 Fountain Valley CA 92708 Ph: (714) 557-8492 |
| NPI Number | 1902271802 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 08/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902271802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58284 (California) | Primary |
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