Orange County Dental Practice | |
13309 Brookhurst St Garden Grove CA 92843-3117 | |
(714) 537-3769 | |
Not Available |
Full Name | Orange County Dental Practice |
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Speciality | Dentist - General Practice |
Location | 13309 Brookhurst St, Garden Grove, California |
Authorized Official Name and Position | Phat Tran (DMD) |
Authorized Official Contact | 7145373769 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orange County Dental Practice 13309 Brookhurst St Garden Grove CA 92843-3117 Ph: (714) 537-3769 | Orange County Dental Practice 13309 Brookhurst St Garden Grove CA 92843-3117 Ph: (714) 537-3769 |
NPI Number | 1407058860 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407058860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 40035 (California) | Primary |
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