Dr Enmer Isau Tadeo, DDS | |
2873 W Lincoln Ave, Anaheim, CA 92801-6226 | |
(714) 761-7000 | |
(714) 761-3900 |
Full Name | Dr Enmer Isau Tadeo |
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Gender | Male |
Speciality | Dentist |
Location | 2873 W Lincoln Ave, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700066230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 56591 (California) | Primary |
Entity Name | Enmer I Tadeo Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083038533 PECOS PAC ID: 7719224153 Enrollment ID: O20190123003739 |
Mailing Address | Practice Location Address |
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Dr Enmer Isau Tadeo, DDS 2873 W Lincoln Ave, Anaheim, CA 92801-6226 Ph: (714) 761-7000 | Dr Enmer Isau Tadeo, DDS 2873 W Lincoln Ave, Anaheim, CA 92801-6226 Ph: (714) 761-7000 |
Ms. Cynthia Bich Van Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 927 N Euclid Street, Anaheim, CA 92801 Phone: 714-991-7140 Fax: 714-991-7141 | |
Jack Ringer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5765 E Santa Ana Canyon Rd Ste A, Anaheim, CA 92807 Phone: 714-974-0313 Fax: 714-974-3332 | |
Dr. Michael P Blum, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 W La Palma Ave, Suite 604, Anaheim, CA 92801 Phone: 714-772-2200 Fax: 714-520-0969 | |
Dr. Vicky Duong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 N Lemon St, Anaheim, CA 92801 Phone: 714-525-5558 Fax: 714-525-8238 | |
Dr. Mike M Kang, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2170 W Lincoln Ave, Anaheim, CA 92801 Phone: 424-343-9009 | |
Dr. Chia-lun Tsao, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 10600 Katella Ave, Anaheim, CA 92804 Phone: 714-758-7777 | |
Dr. Rosetta J Vergel De Dios, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1691 S Euclid St, Anaheim, CA 92802 Phone: 714-991-7572 Fax: 714-991-7756 |