| Sc Dental | |
|
9741 Bolsa Ave Suite 106 Westminster CA 92683-6683 | |
| (714) 775-8434 | |
| (714) 775-1241 |
| Full Name | Sc Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9741 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Richard Tuanho Nguyen (PRESIDENT) |
| Authorized Official Contact | 7147758434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Dental 9741 Bolsa Ave Suite 106 Westminster CA 92683-6683 Ph: (714) 775-8434 | Sc Dental 9741 Bolsa Ave Suite 106 Westminster CA 92683-6683 Ph: (714) 775-8434 |
| NPI Number | 1770775041 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770775041 | NPI | - | NPPES |
| 523992 | Other | CA | DENTICAL PROVIDER NUMBER |
| G89814-01 | Other | CA | DENTICAL BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 52659 (California) | Primary |
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