| West Cobb Dentist Office, Pc | |
|
17000 Red Hill Ave Irvine CA 92614-5626 | |
| (678) 203-3464 | |
| Not Available |
| Full Name | West Cobb Dentist Office, Pc |
|---|---|
| Speciality | Dentist |
| Location | 17000 Red Hill Ave, Irvine, California |
| Authorized Official Name and Position | Jonathan Bridwell (CREDENTIALING ADMIN) |
| Authorized Official Contact | 7148458231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cobb Dentist Office, Pc 3805 Dallas Hwy Sw Suite 804 Marietta GA 30064 Ph: () - | West Cobb Dentist Office, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (678) 203-3464 |
| NPI Number | 1144761727 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144761727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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