| Tsibel Dental Practice Inc. | |
|
10181 Magnolia Ave Riverside CA 92503 | |
| (951) 689-0701 | |
| (951) 319-4195 |
| Full Name | Tsibel Dental Practice Inc. |
|---|---|
| Speciality | Dentist |
| Location | 10181 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Christina Gonzalez (REGIONAL MANAGER) |
| Authorized Official Contact | 9516890701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsibel Dental Practice Inc. 10181 Magnolia Ave Riverside CA 92503 Ph: (951) 689-0701 | Tsibel Dental Practice Inc. 10181 Magnolia Ave Riverside CA 92503 Ph: (951) 689-0701 |
| NPI Number | 1053893271 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 1557604931 |
|---|---|
| Medicare Enrollment ID | O20200311000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053893271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
| Provider Name | Marlice A Patam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730203712 PECOS PAC ID: 3577847938 Enrollment ID: I20170530001360 |
| Provider Name | Dennis R. Hunt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396872149 PECOS PAC ID: 3678813391 Enrollment ID: I20190315001869 |
| Provider Name | Anne Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619450715 PECOS PAC ID: 5799113452 Enrollment ID: I20200312001070 |
| Provider Name | Zoila Cruz-echegoyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952457426 PECOS PAC ID: 7719316942 Enrollment ID: I20200408004345 |
| Provider Name | Misak Sarkis Shnorhavorian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659680619 PECOS PAC ID: 9032452354 Enrollment ID: I20200408004554 |
| Provider Name | Arkady S Tsibel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073611133 PECOS PAC ID: 3173882479 Enrollment ID: I20200626001132 |
| Provider Name | Shane Birju Patel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629622022 PECOS PAC ID: 3971902495 Enrollment ID: I20210602002820 |
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