| Sukut Dental, Inc. | |
|
2900 Bristol St Suite C-102 Costa Mesa CA 92626-5981 | |
| (714) 540-6852 | |
| (714) 540-8066 |
| Full Name | Sukut Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2900 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Karly Lyn Sukut-neppl (PARTNER) |
| Authorized Official Contact | 7145406852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sukut Dental, Inc. 2900 Bristol St Suite C-102 Costa Mesa CA 92626-5981 Ph: (714) 540-6852 | Sukut Dental, Inc. 2900 Bristol St Suite C-102 Costa Mesa CA 92626-5981 Ph: (714) 540-6852 |
| NPI Number | 1093990251 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093990251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23270 (California) | Primary |
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