| Surger Dental Corporation | |
|
1401 Avocado Ave 507 Newport Beach CA 92660-7720 | |
| (949) 640-0501 | |
| (949) 640-0826 |
| Full Name | Surger Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1401 Avocado Ave, Newport Beach, California |
| Authorized Official Name and Position | Edward Surger (CEO) |
| Authorized Official Contact | 9496400501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surger Dental Corporation 1401 Avocado Ave 507 Newport Beach CA 92660-7720 Ph: (949) 640-0501 | Surger Dental Corporation 1401 Avocado Ave 507 Newport Beach CA 92660-7720 Ph: (949) 640-0501 |
| NPI Number | 1457711699 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457711699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 58618 (California) | Primary |
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