| Millennium Dental | |
|
700 W 19th St. Suite C Costa Mesa CA 92627 | |
| (949) 722-9027 | |
| Not Available |
| Full Name | Millennium Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 W 19th St., Costa Mesa, California |
| Authorized Official Name and Position | Guadalupe Ana Mejia (PRESIDENT) |
| Authorized Official Contact | 7145530751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Dental 700 W 19th St. Suite C Costa Mesa CA 92627 Ph: (949) 722-9027 | Millennium Dental 700 W 19th St. Suite C Costa Mesa CA 92627 Ph: (949) 722-9027 |
| NPI Number | 1366962334 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 06/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366962334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS100192 (California) | Primary |
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