| Valley Ace Dental Group | |
|
8345 Reseda Blvd Ste 101 Northridge CA 91324-4648 | |
| (818) 576-9990 | |
| (818) 576-9993 |
| Full Name | Valley Ace Dental Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 8345 Reseda Blvd Ste 101, Northridge, California |
| Authorized Official Name and Position | Mindy Park (GENERAL DENTIST) |
| Authorized Official Contact | 8185769990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Ace Dental Group 8345 Reseda Blvd Ste 101 Northridge CA 91324-4648 Ph: () - | Valley Ace Dental Group 8345 Reseda Blvd Ste 101 Northridge CA 91324-4648 Ph: (818) 576-9990 |
| NPI Number | 1548540552 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 1052677820 |
|---|---|
| Medicare Enrollment ID | O20171110000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548540552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54241 (California) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Hongsuk Suh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073643128 PECOS PAC ID: 1759648850 Enrollment ID: I20171128001132 |
| Provider Name | Mindy M Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417257767 PECOS PAC ID: 8628335502 Enrollment ID: I20171130002827 |
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Rebecca Lee, D.d.s., A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Corbin Ave, Suite 108, Northridge, CA 91326 Phone: 818-831-8252 Fax: 818-831-8255 | |
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Mindy Park Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8345 Reseda Blvd Ste 101, Northridge, CA 91324 Phone: 818-576-9990 |