Pds Holdings I , Inc | |
530 S Main St Orange CA 92868-4525 | |
(714) 973-2022 | |
(714) 571-6445 |
Full Name | Pds Holdings I , Inc |
---|---|
Speciality | Dentist |
Location | 530 S Main St, Orange, California |
Authorized Official Name and Position | Preet Takkar (CHIEF INFORMATION OFFICER) |
Authorized Official Contact | 7145713372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pds Holdings I , Inc 530 S Main St Orange CA 92868-4525 Ph: (714) 973-2022 | Pds Holdings I , Inc 530 S Main St Orange CA 92868-4525 Ph: (714) 973-2022 |
NPI Number | 1619592102 |
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Provider Enumeration Date | 06/10/2020 |
Last Update Date | 06/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619592102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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