| State College Dental Group | |
|
330 N State College Blvd Ste 105 Anaheim CA 92806-2924 | |
| (714) 772-5005 | |
| Not Available |
| Full Name | State College Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 N State College Blvd Ste 105, Anaheim, California |
| Authorized Official Name and Position | Marius Badea (DENTIST , OFFICER) |
| Authorized Official Contact | 7147725005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State College Dental Group 330 N State College Blvd Ste 105 Anaheim CA 92806-2924 Ph: (714) 772-5005 | State College Dental Group 330 N State College Blvd Ste 105 Anaheim CA 92806-2924 Ph: (714) 772-5005 |
| NPI Number | 1871628065 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871628065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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