Tina Ngo, DDS | |
5335 Lakeshore Blvd, Lakeport, CA 95453-6123 | |
(707) 263-7725 | |
Not Available |
Full Name | Tina Ngo |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 5335 Lakeshore Blvd, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043687007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 65027 (California) | Primary |
Entity Name | Mendocino Community Health Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
Mailing Address | Practice Location Address |
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Tina Ngo, DDS 2388 Giselman St, Lakeport, CA 95453-3127 Ph: () - | Tina Ngo, DDS 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 Ph: (707) 263-7725 |
Dr. Alexander Russell Mcgeoch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1870 N High St, Lakeport, CA 95453 Phone: 707-263-5427 Fax: 707-263-3925 | |
John Granville Jenkins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-0196 Fax: 707-263-1439 | |
Dr. Marlin Noelia Duran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8383 Fax: 707-263-5019 | |
Dr. Jai Goo Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 925 Bevins Court, Lakeport, CA 95453 Phone: 707-263-8383 Fax: 707-263-5019 | |
Dr. James Edward Milani, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 800 11th St, Lakeport, CA 95453 Phone: 707-263-9992 Fax: 707-263-9994 | |
Dr. Jonathan Michael Drew, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 9th St, Lakeport, CA 95453 Phone: 707-263-5390 |