| Harbor Dental | |
|
971 N Harbor Blvd La Habra CA 90631-3103 | |
| (562) 690-3551 | |
| (562) 690-4181 |
| Full Name | Harbor Dental |
|---|---|
| Speciality | Dentist |
| Location | 971 N Harbor Blvd, La Habra, California |
| Authorized Official Name and Position | Anna Hou (CEO) |
| Authorized Official Contact | 5626903551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Dental 971 N Harbor Blvd La Habra CA 90631-3103 Ph: (562) 690-3551 | Harbor Dental 971 N Harbor Blvd La Habra CA 90631-3103 Ph: (562) 690-3551 |
| NPI Number | 1780913905 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 12/17/2009 |
| Medicare PECOS PAC ID | 9133522881 |
|---|---|
| Medicare Enrollment ID | O20210719003561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780913905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36985 (California) | Primary |
| Provider Name | Anna Liu Hou |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770649998 PECOS PAC ID: 8426455148 Enrollment ID: I20211001000966 |
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