| Trieu & Kang Professional Dental Corp | |
|
38024 47th Street Suite H Palmdale CA 93552 | |
| (951) 640-2720 | |
| Not Available |
| Full Name | Trieu & Kang Professional Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 38024 47th Street, Palmdale, California |
| Authorized Official Name and Position | Lloyd V Trieu (DENTIST/OWNER) |
| Authorized Official Contact | 9516402720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trieu & Kang Professional Dental Corp 11805 Yorktown Ct Rancho Cucamonga CA 91730-3967 Ph: (951) 640-2720 | Trieu & Kang Professional Dental Corp 38024 47th Street Suite H Palmdale CA 93552 Ph: (951) 640-2720 |
| NPI Number | 1326423575 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Medicare PECOS PAC ID | 8123307188 |
|---|---|
| Medicare Enrollment ID | O20161115000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326423575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54701 (California) | Primary |
| Provider Name | Lloyd Trieu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922297183 PECOS PAC ID: 5294014254 Enrollment ID: I20200722000542 |
| Provider Name | Seung M Kang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295942985 PECOS PAC ID: 4486933447 Enrollment ID: I20211207001668 |
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