| Hong Xie, Dds, Inc. | |
|
2225 Buchanan Rd G Antioch CA 94509-4209 | |
| (510) 637-8289 | |
| Not Available |
| Full Name | Hong Xie, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2225 Buchanan Rd, Antioch, California |
| Authorized Official Name and Position | Hong Xie (CHIEF OFFICER) |
| Authorized Official Contact | 5106378289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hong Xie, Dds, Inc. 2225 Buchanan Rd G Antioch CA 94509-4209 Ph: () - | Hong Xie, Dds, Inc. 2225 Buchanan Rd G Antioch CA 94509-4209 Ph: (510) 637-8289 |
| NPI Number | 1255768123 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 04/14/2023 |
| Medicare PECOS PAC ID | 3274945217 |
|---|---|
| Medicare Enrollment ID | O20201215002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255768123 | NPI | - | NPPES |
| Provider Name | Hong Xie |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336371947 PECOS PAC ID: 8820380249 Enrollment ID: I20201228000731 |
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