| Hung X DO DDS PC | |
|
15415 Jeffrey Rd Ste 104 Irvine CA 92618-4103 | |
| (949) 654-5454 | |
| (949) 654-5474 |
| Full Name | Hung X DO DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15415 Jeffrey Rd Ste 104, Irvine, California |
| Authorized Official Name and Position | Hung Xuan DO (PRESIDENT) |
| Authorized Official Contact | 9496545454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hung X DO DDS PC 15415 Jeffrey Rd Ste 104 Irvine CA 92618-4103 Ph: (949) 654-5454 | Hung X DO DDS PC 15415 Jeffrey Rd Ste 104 Irvine CA 92618-4103 Ph: (949) 654-5454 |
| NPI Number | 1457416133 |
|---|---|
| Provider Enumeration Date | 12/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457416133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44865 (California) | Primary |
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