| Trudental | |
|
4917 Lincoln Ave Cypress CA 90630-2655 | |
| (562) 822-5937 | |
| Not Available |
| Full Name | Trudental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4917 Lincoln Ave, Cypress, California |
| Authorized Official Name and Position | Andrew Kang (OWNER) |
| Authorized Official Contact | 7149470777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trudental 4917 Lincoln Ave Cypress CA 90630-2655 | Trudental 4917 Lincoln Ave Cypress CA 90630-2655 Ph: (562) 822-5937 |
| NPI Number | 1548801632 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548801632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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