| Santa Cruz Oral And Maxillofacial Surgery | |
|
1663 Dominican Way Suite 112 Santa Cruz CA 95065-1527 | |
| (831) 475-0221 | |
| (831) 475-3573 |
| Full Name | Santa Cruz Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1663 Dominican Way, Santa Cruz, California |
| Authorized Official Name and Position | Tyese K Evans (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8314750221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Cruz Oral And Maxillofacial Surgery 1663 Dominican Way Suite 112 Santa Cruz CA 95065-1527 Ph: (831) 475-0221 | Santa Cruz Oral And Maxillofacial Surgery 1663 Dominican Way Suite 112 Santa Cruz CA 95065-1527 Ph: (831) 475-0221 |
| NPI Number | 1881869337 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881869337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 23580 (California) | Primary |
Linh N Van Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1667 Dominican Way, Suite 232, Santa Cruz, CA 95065 Phone: 831-476-5512 | |
Brent J. Porter, D.d.s., M.s., A P.d.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Water St, Suite D Number 1, Santa Cruz, CA 95060 Phone: 831-459-9802 Fax: 831-459-8234 | |
Seabright Dental Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 Soquel Ave # 2, Santa Cruz, CA 95062 Phone: 831-431-6477 Fax: 831-471-8265 | |
Denisse Gomez, Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8030 Soquel Ave Ste 101, Santa Cruz, CA 95062 Phone: 831-462-5600 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Ocean St, Santa Cruz, CA 95060 Phone: 831-600-3260 Fax: 831-466-9483 | |
Santa Cruz Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Dominican Way, Santa Cruz, CA 95065 Phone: 831-475-2833 | |
Paul P. Bock Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Portola Dr, Suite 3, Santa Cruz, CA 95062 Phone: 831-475-1566 |