| Mmsi Dental Center | |
|
33 Creek Rd Ste A-150 Irvine CA 92604-4791 | |
| (949) 825-7799 | |
| Not Available |
| Full Name | Mmsi Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 33 Creek Rd Ste A-150, Irvine, California |
| Authorized Official Name and Position | Emmanuel Kandkhorov (PRESIDENT) |
| Authorized Official Contact | 9498257799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmsi Dental Center 33 Creek Rd Ste A-150 Irvine CA 92604-4791 Ph: (949) 825-7799 | Mmsi Dental Center 33 Creek Rd Ste A-150 Irvine CA 92604-4791 Ph: (949) 825-7799 |
| NPI Number | 1376825794 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 01/08/2018 |
| Medicare PECOS PAC ID | 7012295785 |
|---|---|
| Medicare Enrollment ID | O20180706001969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376825794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50617 (California) | Primary |
| Provider Name | Emmanuel S Kandkhorov |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902933831 PECOS PAC ID: 6002106317 Enrollment ID: I20180706002245 |
Charng Shing Jean Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Trabuco Rd Ste 130, Irvine, CA 92620 Phone: 949-551-4737 Fax: 949-551-0180 | |
Adrian Acosta Dds A Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Waterworks Way, 355, Irvine, CA 92618 Phone: 562-356-0948 Fax: 866-817-3581 | |
Robert Lee Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Irvine Blvd Ste 203, Irvine, CA 92620 Phone: 714-730-0491 | |
Frank S. Seo, Dds, Mph, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 Barranca Pkwy, Suite 309, Irvine, CA 92604 Phone: 949-552-5055 Fax: 949-552-6613 | |
Youngsam Kim Dental Corporation Dental Clinic Medicare: Medicare Enrolled Practice Location: 4330 Barranca Pkwy Ste 140, Irvine, CA 92604 Phone: 949-523-2875 | |
Aava Dental Of Irvine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Odyssey, 265, Irvine, CA 92618 Phone: 949-585-1515 Fax: 949-585-1519 | |
Deepika Dhama, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18102 Culver Dr, Irvine, CA 92612 Phone: 949-774-2139 Fax: 949-774-2158 |