| South Coast Dental Center | |
|
3500 S Bristol St Ste 101 Santa Ana CA 92704-7319 | |
| (714) 556-1717 | |
| Not Available |
| Full Name | South Coast Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3500 S Bristol St Ste 101, Santa Ana, California |
| Authorized Official Name and Position | Edward Hakim (PRESIDENT) |
| Authorized Official Contact | 7145561717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Dental Center 3500 S Bristol St Ste 101 Santa Ana CA 92704-7319 Ph: () - | South Coast Dental Center 3500 S Bristol St Ste 101 Santa Ana CA 92704-7319 Ph: (714) 556-1717 |
| NPI Number | 1700389830 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700389830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS27887 (California) | Primary |
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