| Omega Family Dental | |
|
816 W Willow St Long Beach CA 90806-2837 | |
| (562) 595-7077 | |
| (562) 490-4727 |
| Full Name | Omega Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 816 W Willow St, Long Beach, California |
| Authorized Official Name and Position | Ted Chan (DOCTOR) |
| Authorized Official Contact | 5625957077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Family Dental 816 W Willow St Long Beach CA 90806-2837 Ph: (562) 595-7077 | Omega Family Dental 816 W Willow St Long Beach CA 90806-2837 Ph: (562) 595-7077 |
| NPI Number | 1396250353 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396250353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44153 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 46396 (California) | Secondary |
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