| Brea Dental Group | |
|
503 E Imperial Hwy Brea CA 92821 | |
| (714) 672-9000 | |
| (714) 672-9086 |
| Full Name | Brea Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 503 E Imperial Hwy, Brea, California |
| Authorized Official Name and Position | John C Whitworth (DENTIST OWNER) |
| Authorized Official Contact | 7146729000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brea Dental Group 503 E Imperial Hwy Brea CA 92821 Ph: (714) 672-9000 | Brea Dental Group 503 E Imperial Hwy Brea CA 92821 Ph: (714) 672-9000 |
| NPI Number | 1770591026 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770591026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23398 (California) | Primary |
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