| Tch Dentalcare | |
|
8227 Bolsa Ave Midway City CA 92655-1233 | |
| (714) 895-5568 | |
| (714) 895-5578 |
| Full Name | Tch Dentalcare |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8227 Bolsa Ave, Midway City, California |
| Authorized Official Name and Position | Tan Canh Huynh (CEO) |
| Authorized Official Contact | 7148955568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tch Dentalcare 8227 Bolsa Ave Midway City CA 92655-1233 Ph: (714) 895-5568 | Tch Dentalcare 8227 Bolsa Ave Midway City CA 92655-1233 Ph: (714) 895-5568 |
| NPI Number | 1164612792 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164612792 | NPI | - | NPPES |
| G-92320-01 | Other | CA | MEDICAL PROVIDER NUMBER |
| D46609 | Other | CA | CALIFORNIA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D46609 (California) | Primary |
Khoa Dai Le Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8181 Bolsa Ave, Midway City, CA 92655 Phone: 714-698-8181 Fax: 714-698-1609 |