San Antonio Dental | |
4342 Atlantic Ave., Suite A Long Beach, CA 90807 | |
(562) 981-1437 | |
(562) 981-1438 |
Full Name | San Antonio Dental |
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Speciality | Dentist - General Practice |
Location | 4342 Atlantic Ave.,, Long Beach,, California |
Authorized Official Name and Position | Elizabeth P. Castaneda (CEO/PRESIDENT) |
Authorized Official Contact | 5629811437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Antonio Dental P. O. Box 7800 Huntington Beach CA 92615 Ph: (562) 981-1437 | San Antonio Dental 4342 Atlantic Ave., Suite A Long Beach, CA 90807 Ph: (562) 981-1437 |
NPI Number | 1669886081 |
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Provider Enumeration Date | 06/13/2014 |
Last Update Date | 06/24/2014 |
Identifier | Type | State | Issuer |
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1669886081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 33557 (California) | Primary |