| Oc Dental Specialists | |
|
11702 Beach Blvd Stanton CA 90680-3609 | |
| (714) 898-5600 | |
| Not Available |
| Full Name | Oc Dental Specialists |
|---|---|
| Speciality | Dentist |
| Location | 11702 Beach Blvd, Stanton, California |
| Authorized Official Name and Position | Thomas Michael Boone (DENTIST) |
| Authorized Official Contact | 7148985600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Dental Specialists Po Box 1543 Sunset Beach CA 90742-1543 Ph: () - | Oc Dental Specialists 11702 Beach Blvd Stanton CA 90680-3609 Ph: (714) 898-5600 |
| NPI Number | 1104348150 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 07/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104348150 | NPI | - | NPPES |
| 1285932954 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34661 (California) | Primary |
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