Star Bright Dental | |
5871 Westminster Blvd. Suite G Westminster CA 92683 | |
(714) 373-5999 | |
(714) 373-1999 |
Full Name | Star Bright Dental |
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Speciality | Dentist |
Location | 5871 Westminster Blvd., Westminster, California |
Authorized Official Name and Position | Cuong M. Nguyen (PRESIDENT) |
Authorized Official Contact | 7143735999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Star Bright Dental 5871 Westminster Blvd. Suite G Westminster CA 92683 Ph: (714) 373-5999 | Star Bright Dental 5871 Westminster Blvd. Suite G Westminster CA 92683 Ph: (714) 373-5999 |
NPI Number | 1730413121 |
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Provider Enumeration Date | 10/01/2009 |
Last Update Date | 07/30/2013 |
Medicare PECOS PAC ID | 0244512044 |
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Medicare Enrollment ID | O20170130002653 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730413121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 55918 (California) | Primary |
Provider Name | Cuong M Nguyen |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1881874212 PECOS PAC ID: 1153603956 Enrollment ID: I20170130002709 |
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