| Nova Dental | |
|
303 N East St Anaheim CA 92805-3341 | |
| (714) 635-0800 | |
| (714) 635-0811 |
| Full Name | Nova Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 303 N East St, Anaheim, California |
| Authorized Official Name and Position | Tu V Huynh (CEO) |
| Authorized Official Contact | 7145350998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental 111 S Brookhurst St Anaheim CA 92804-2407 Ph: (714) 535-0998 | Nova Dental 303 N East St Anaheim CA 92805-3341 Ph: (714) 635-0800 |
| NPI Number | 1598077208 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 07/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598077208 | NPI | - | NPPES |
| G9351001 | Medicaid | CA | |
| 1073682654 | Other | CA | NPPES |
| 1639305451 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D48615 (California) | Primary |
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