Tuan M. Hoang, Dds Inc. | |
16045 Brookhurst St Fountain Valley CA 92708-1544 | |
(714) 425-0735 | |
Not Available |
Full Name | Tuan M. Hoang, Dds Inc. |
---|---|
Speciality | Dentist |
Location | 16045 Brookhurst St, Fountain Valley, California |
Authorized Official Name and Position | Tuan Hoang (PRESIDENT) |
Authorized Official Contact | 7144250735 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tuan M. Hoang, Dds Inc. 16045 Brookhurst St Fountain Valley CA 92708-1544 Ph: () - | Tuan M. Hoang, Dds Inc. 16045 Brookhurst St Fountain Valley CA 92708-1544 Ph: (714) 425-0735 |
NPI Number | 1972008217 |
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Provider Enumeration Date | 03/28/2018 |
Last Update Date | 03/28/2018 |
Medicare PECOS PAC ID | 5294074555 |
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Medicare Enrollment ID | O20190304001720 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972008217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Tuan Manh Hoang |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1215307954 PECOS PAC ID: 1951695923 Enrollment ID: I20190315001816 |
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