| Your Family Dentist | |
|
7677 Center Ave Suite 210 Huntington Beach CA 92647-3074 | |
| (607) 238-1280 | |
| (607) 238-1286 |
| Full Name | Your Family Dentist |
|---|---|
| Speciality | Dentist |
| Location | 7677 Center Ave, Huntington Beach, California |
| Authorized Official Name and Position | Michael P Wilson (OWNER-PRESIDENT) |
| Authorized Official Contact | 6072381280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Dentist 30 W State St Binghamton NY 13901-2332 Ph: (607) 238-1280 | Your Family Dentist 7677 Center Ave Suite 210 Huntington Beach CA 92647-3074 Ph: (607) 238-1280 |
| NPI Number | 1578991162 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578991162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62234 (California) | Primary |
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