| Tustin Avenue Dental Team | |
|
1100 N Tustin Ave Suite C Santa Ana CA 92705-3509 | |
| (714) 543-9762 | |
| (714) 973-0939 |
| Full Name | Tustin Avenue Dental Team |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Christine P Oh (PRESIDENT) |
| Authorized Official Contact | 7145439762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tustin Avenue Dental Team 1100 N Tustin Ave Suite C Santa Ana CA 92705-3509 Ph: (714) 543-9762 | Tustin Avenue Dental Team 1100 N Tustin Ave Suite C Santa Ana CA 92705-3509 Ph: (714) 543-9762 |
| NPI Number | 1265973275 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6608208756 |
|---|---|
| Medicare Enrollment ID | O20191112001508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265973275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 34642 (California) | Primary |
| Provider Name | Christine P Oh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053452367 PECOS PAC ID: 9234442484 Enrollment ID: I20191112001702 |
U Dream Dental - Santa Ana Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 W 17th St, Santa Ana, CA 92706 Phone: 714-881-1441 Fax: 714-881-1448 | |
Koh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2509 W Mcfadden Ave, Suite E, Santa Ana, CA 92704 Phone: 714-835-8797 Fax: 714-835-8797 | |
Andy Ngan Tran Dmd Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 2739 W Edinger Ave, Santa Ana, CA 92704 Phone: 714-957-0308 Fax: 714-957-5845 | |
First Street Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 East First Street, Suite 230, Santa Ana, CA 92705 Phone: 714-546-5579 Fax: 714-542-2785 | |
Altamed Health Services Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W Sunflower Ave, Rooms 243-244, 252 & 254, Santa Ana, CA 92704 Phone: 714-274-0373 Fax: 323-597-2113 | |
Sergio R. Aguilar, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 N Main St Ste 120, Santa Ana, CA 92701 Phone: 714-835-4057 Fax: 714-835-4058 | |
Pinales Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 S Main St, Santa Ana, CA 92707 Phone: 714-542-7272 Fax: 714-541-6399 |