Placentia Dental Studio | |
200 N Bradford Ave Ste A Placentia CA 92870-5646 | |
(714) 572-0170 | |
Not Available |
Full Name | Placentia Dental Studio |
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Speciality | Dentist |
Location | 200 N Bradford Ave Ste A, Placentia, California |
Authorized Official Name and Position | Michael Diep (PRESIDENT) |
Authorized Official Contact | 7143350514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Placentia Dental Studio 200 N Bradford Ave Ste A Placentia CA 92870-5646 Ph: (714) 572-0170 | Placentia Dental Studio 200 N Bradford Ave Ste A Placentia CA 92870-5646 Ph: (714) 572-0170 |
NPI Number | 1518404219 |
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Provider Enumeration Date | 01/19/2017 |
Last Update Date | 01/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518404219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 51573 (California) | Primary |
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