| Huntington Beach Modern Dentistry | |
|
16071 Goldenwest St Huntington Beach CA 92647-3405 | |
| (714) 536-2383 | |
| (714) 536-3694 |
| Full Name | Huntington Beach Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 16071 Goldenwest St, Huntington Beach, California |
| Authorized Official Name and Position | Nicole Smith (OWNE DOCTOR) |
| Authorized Official Contact | 7145362383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Beach Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Huntington Beach Modern Dentistry 16071 Goldenwest St Huntington Beach CA 92647-3405 Ph: (714) 536-2383 |
| NPI Number | 1508285503 |
|---|---|
| Provider Enumeration Date | 04/08/2014 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508285503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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