| Port Dental Care Of Long Beach | |
|
825 Pacific Ave Long Beach CA 90813-4225 | |
| (562) 436-4598 | |
| (562) 437-4598 |
| Full Name | Port Dental Care Of Long Beach |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 825 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | Arceli P Diaz (PRESIDENT) |
| Authorized Official Contact | 5624364598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Dental Care Of Long Beach 825 Pacific Ave Long Beach CA 90813-4225 Ph: (562) 436-4598 | Port Dental Care Of Long Beach 825 Pacific Ave Long Beach CA 90813-4225 Ph: (562) 436-4598 |
| NPI Number | 1811240245 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811240245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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