| Nolasco Sta Ana Dmd Inc Family Dentistry | |
|
2560 W Lincoln Ave Anaheim CA 92801 | |
| (714) 220-9647 | |
| (714) 220-0375 |
| Full Name | Nolasco Sta Ana Dmd Inc Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2560 W Lincoln Ave, Anaheim, California |
| Authorized Official Name and Position | Nolasco T Sta Ana (PRESIDENT) |
| Authorized Official Contact | 7142209647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nolasco Sta Ana Dmd Inc Family Dentistry 2560 W Lincoln Ave Anaheim CA 92801 Ph: (714) 220-9647 | Nolasco Sta Ana Dmd Inc Family Dentistry 2560 W Lincoln Ave Anaheim CA 92801 Ph: (714) 220-9647 |
| NPI Number | 1720282734 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720282734 | NPI | - | NPPES |
| 83534101 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35341 (California) | Primary |
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