| The Loft Dental Studio | |
|
3151 Airway Ave Ste. F-103 Costa Mesa CA 92626-4607 | |
| (714) 549-7030 | |
| (714) 464-4538 |
| Full Name | The Loft Dental Studio |
|---|---|
| Speciality | Dentist |
| Location | 3151 Airway Ave, Costa Mesa, California |
| Authorized Official Name and Position | Kouichi Cliff Itoh (DENTIST) |
| Authorized Official Contact | 7145497030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Loft Dental Studio 3151 Airway Ave Ste. F-103 Costa Mesa CA 92626-4607 Ph: (714) 549-7030 | The Loft Dental Studio 3151 Airway Ave Ste. F-103 Costa Mesa CA 92626-4607 Ph: (714) 549-7030 |
| NPI Number | 1225442395 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225442395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39420 (California) | Primary |
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