| Jwan Kotrush Dds Inc | |
|
842 S Brookhurst St Anaheim CA 92804-4303 | |
| (714) 635-3585 | |
| Not Available |
| Full Name | Jwan Kotrush Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 842 S Brookhurst St, Anaheim, California |
| Authorized Official Name and Position | Jwan Kotrush (OWNER) |
| Authorized Official Contact | 7146353585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwan Kotrush Dds Inc 842 S Brookhurst St Anaheim CA 92804-4303 Ph: (714) 635-3585 | Jwan Kotrush Dds Inc 842 S Brookhurst St Anaheim CA 92804-4303 Ph: (714) 635-3585 |
| NPI Number | 1497808067 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497808067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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