| Pc Dental Care | |
|
10425 Magnolia Ave Ste A Anaheim CA 92804-5113 | |
| (714) 952-3582 | |
| (714) 236-5409 |
| Full Name | Pc Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10425 Magnolia Ave Ste A, Anaheim, California |
| Authorized Official Name and Position | Con Ngoc Tran (CEO) |
| Authorized Official Contact | 7149523582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pc Dental Care 10425 Magnolia Ave #a Suite # A Anaheim CA 92804-5113 Ph: (714) 952-3582 | Pc Dental Care 10425 Magnolia Ave Ste A Anaheim CA 92804-5113 Ph: (714) 952-3582 |
| NPI Number | 1235287434 |
|---|---|
| Provider Enumeration Date | 01/07/2007 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235287434 | NPI | - | NPPES |
| G91567 | Medicaid | CA | |
| G91567-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44104 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 41493 (California) | Secondary |
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