|
| |
|
6039 Beach Blvd Buena Park CA 90621-2304 | |
| (714) 994-1456 | |
| (714) 994-1530 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 6039 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Pauline Nguyen (OWNER PRESIDENT) |
| Authorized Official Contact | 7149941456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6039 Beach Blvd Buena Park CA 90621-2304 Ph: (714) 994-1456 | 6039 Beach Blvd Buena Park CA 90621-2304 Ph: (714) 994-1456 |
| NPI Number | 1467433276 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467433276 | NPI | - | NPPES |
| G9354001 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49954 (California) | Primary |
Foroutan Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Knott Ave Ste L, Buena Park, CA 90620 Phone: 714-826-4181 | |
J Bhaheetharan Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6131 Orangethorpe Ave Ste 405, Buena Park, CA 90620 Phone: 714-786-6965 | |
Yoon Smile Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Beach Blvd Ste 105, Buena Park, CA 90620 Phone: 714-886-2270 Fax: 714-886-2264 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5971 Lincoln Ave, Buena Park, CA 90620 Phone: 714-995-3976 Fax: 714-995-7124 |