| Premier Dental Care | |
|
15892 Pasadena Ave Tustin CA 92780-5415 | |
| (714) 573-7100 | |
| (714) 505-0101 |
| Full Name | Premier Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15892 Pasadena Ave, Tustin, California |
| Authorized Official Name and Position | Seung M Kang (OWNER) |
| Authorized Official Contact | 5622987664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Care 15892 Pasadena Ave Tustin CA 92780-5415 Ph: (714) 573-7100 | Premier Dental Care 15892 Pasadena Ave Tustin CA 92780-5415 Ph: (714) 573-7100 |
| NPI Number | 1578703864 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578703864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54733 (California) | Primary |
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