| Moller&irenedmd, Inc | |
|
9092 Talbert Ave Ste 12 Fountain Valley CA 92708-4475 | |
| (714) 963-6696 | |
| Not Available |
| Full Name | Moller&irenedmd, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9092 Talbert Ave Ste 12, Fountain Valley, California |
| Authorized Official Name and Position | Moller Awad (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9496893204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moller&irenedmd, Inc 1747 Grand Ave Unit 4 Long Beach CA 90804-2065 Ph: () - | Moller&irenedmd, Inc 9092 Talbert Ave Ste 12 Fountain Valley CA 92708-4475 Ph: (714) 963-6696 |
| NPI Number | 1073255626 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073255626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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