| Vizconde Dental Corporation | |
|
5771 Beach Blvd Buena Park CA 90621-2044 | |
| (714) 228-1230 | |
| (714) 228-0580 |
| Full Name | Vizconde Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5771 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Edna P Vizconde (SECRETARY) |
| Authorized Official Contact | 7142281230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vizconde Dental Corporation 5771 Beach Blvd Buena Park CA 90621-2044 Ph: (714) 228-1230 | Vizconde Dental Corporation 5771 Beach Blvd Buena Park CA 90621-2044 Ph: (714) 228-1230 |
| NPI Number | 1891126355 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891126355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31414 (California) | Primary |
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