| Sanford L. Ratner Dds And Monty C.wilson Dds Inc. | |
|
1200 N Tustin Ave Suite 108 Santa Ana CA 92705-3508 | |
| (714) 835-7771 | |
| (714) 835-1715 |
| Full Name | Sanford L. Ratner Dds And Monty C.wilson Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1200 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Sanford L Ratner (PRESIDENT OF CORP.) |
| Authorized Official Contact | 7148357771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford L. Ratner Dds And Monty C.wilson Dds Inc. 1200 N Tustin Ave Suite 108 Santa Ana CA 92705-3508 Ph: (714) 835-7771 | Sanford L. Ratner Dds And Monty C.wilson Dds Inc. 1200 N Tustin Ave Suite 108 Santa Ana CA 92705-3508 Ph: (714) 835-7771 |
| NPI Number | 1154514388 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 09/28/2011 |
| Medicare PECOS PAC ID | 1850479858 |
|---|---|
| Medicare Enrollment ID | O20080416000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154514388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 027058 (California) | Primary |
| Provider Name | Monty C Wilson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487726055 PECOS PAC ID: 0143204164 Enrollment ID: I20040616001498 |
| Provider Name | Sanford L Ratner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922178672 PECOS PAC ID: 5294776662 Enrollment ID: I20080416000249 |
| Provider Name | Lisa N Tran |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588980767 PECOS PAC ID: 6204124522 Enrollment ID: I20161019000926 |
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