| Harbor Dentistry | |
|
756 S Harbor Blvd Santa Ana CA 92704-2337 | |
| (714) 531-4311 | |
| (714) 531-0756 |
| Full Name | Harbor Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 756 S Harbor Blvd, Santa Ana, California |
| Authorized Official Name and Position | Trung Thu Nguyen (CEO) |
| Authorized Official Contact | 7145314311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Dentistry 756 S Harbor Blvd Santa Ana CA 92704-2337 Ph: (714) 531-4311 | Harbor Dentistry 756 S Harbor Blvd Santa Ana CA 92704-2337 Ph: (714) 531-4311 |
| NPI Number | 1306044375 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306044375 | NPI | - | NPPES |
| G-92183-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44429 (California) | Primary |
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