| Family Dental | |
|
700 W 19th St Suite C Costa Mesa CA 92627-3517 | |
| (714) 722-9027 | |
| (714) 722-9028 |
| Full Name | Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 W 19th St, Costa Mesa, California |
| Authorized Official Name and Position | Leticia Camacho (PRESIDENR) |
| Authorized Official Contact | 7149722506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental 516 W 17th St Suite A Santa Ana CA 92706-3677 Ph: (714) 972-2606 | Family Dental 700 W 19th St Suite C Costa Mesa CA 92627-3517 Ph: (714) 722-9027 |
| NPI Number | 1871858688 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871858688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55738 (California) | Primary |
| 305R00000X | Preferred Provider Organization | 55738 (California) | Secondary |
Michael Ayzin Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Bristol St Ste 120, Costa Mesa, CA 92626 Phone: 714-540-5511 Fax: 714-540-1733 | |
Gaff Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3033 Bristol St Ste Aa, Costa Mesa, CA 92626 Phone: 714-424-9099 | |
Alvaro Hernandez Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Bristol St Ste 550, Costa Mesa, CA 92626 Phone: 714-863-2414 | |
Sukut Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Bristol St, Suite C-102, Costa Mesa, CA 92626 Phone: 714-540-6852 Fax: 714-540-8066 | |
Susan Millar Dds A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 S Coast Dr Ste 200, Costa Mesa, CA 92626 Phone: 714-546-3000 Fax: 714-546-3010 | |
Carlos F Garcia Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Baker St A4, Costa Mesa, CA 92626 Phone: 714-545-9990 Fax: 714-545-7108 | |
Farzin Mehrdad D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Baker St, A-4, Costa Mesa, CA 92626 Phone: 714-545-9990 Fax: 714-545-7108 |