| Pema Professional Dental Corp | |
|
17900 Brookhurst St Suite A Fountain Valley CA 92708 | |
| (714) 887-4337 | |
| (714) 889-4339 |
| Full Name | Pema Professional Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17900 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Nilesh Pema (OWNER) |
| Authorized Official Contact | 7148874337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pema Professional Dental Corp 17900 Brookhurst St Suite A Fountain Valley CA 92708 Ph: (714) 887-4337 | Pema Professional Dental Corp 17900 Brookhurst St Suite A Fountain Valley CA 92708 Ph: (714) 887-4337 |
| NPI Number | 1801034723 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801034723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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