| |
7757 Katella Ave Sutie D Stanton CA 90680-4901 | |
(714) 209-7702 | |
(714) 209-7658 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 7757 Katella Ave, Stanton, California |
Authorized Official Name and Position | Dorothy Wenyi Chao (OWNER) |
Authorized Official Contact | 7142097702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7757 Katella Ave Sutie D Stanton CA 90680-4901 Ph: (714) 209-7702 | 7757 Katella Ave Sutie D Stanton CA 90680-4901 Ph: (714) 209-7702 |
NPI Number | 1942492442 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 02/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942492442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 44847 (California) | Primary |
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