| Santa Rosa Dental Office | |
|
745 N. Brea Blvd Brea CA 92821 | |
| (714) 990-0126 | |
| Not Available |
| Full Name | Santa Rosa Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 745 N. Brea Blvd, Brea, California |
| Authorized Official Name and Position | Victor R. Camones (DENTIST/PROSTHODONTICS) |
| Authorized Official Contact | 7149900126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Dental Office 745 Brea Blvd Brea CA 92821 Ph: (714) 990-0126 | Santa Rosa Dental Office 745 N. Brea Blvd Brea CA 92821 Ph: (714) 990-0126 |
| NPI Number | 1649572330 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 08/22/2014 |
| Medicare PECOS PAC ID | 3870710817 |
|---|---|
| Medicare Enrollment ID | O20140814001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649572330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 43325 (California) | Primary |
| Provider Name | Victor Camones |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992884431 PECOS PAC ID: 4789801721 Enrollment ID: I20140910002082 |
Steven M Richardson, Dds Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 S Flower Ave, Brea, CA 92821 Phone: 714-990-3672 | |
Daniel Lee Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 S State College Blvd Ste M, Brea, CA 92821 Phone: 714-883-6367 | |
J Dennis Lewis Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1770 E Lambert Rd, #220, Brea, CA 92821 Phone: 714-990-8891 Fax: 714-990-1649 | |
Gail Ann Krishnan Dds Ms Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 W Central Ave Ste 201, Brea, CA 92821 Phone: 714-990-0204 Fax: 714-990-0204 | |
Imperial Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Imperial Hwy, Brea, CA 92821 Phone: 714-671-9999 Fax: 714-671-0597 | |
Brea Ranch Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 936 E Imperial Hwy, Brea, CA 92821 Phone: 714-990-4911 Fax: 714-990-5883 | |
Sahawneh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Imperial Hwy, Suite E, Brea, CA 92821 Phone: 714-988-1000 Fax: 714-255-1754 |