| Victoria Place Dental Center | |
|
3144 Broadway St Suite C1 Eureka CA 95501-3838 | |
| (707) 443-9374 | |
| (707) 443-9376 |
| Full Name | Victoria Place Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3144 Broadway St, Eureka, California |
| Authorized Official Name and Position | Mohd Awwad (PRESIDENT) |
| Authorized Official Contact | 7074439374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Place Dental Center 3144 Broadway St Suite C1 Eureka CA 95501-3838 Ph: (707) 443-9374 | Victoria Place Dental Center 3144 Broadway St Suite C1 Eureka CA 95501-3838 Ph: (707) 443-9374 |
| NPI Number | 1689885261 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689885261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45428 (California) | Primary |
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