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NPI Code Detail

MEDICARE: ALAMEDA CROSSING DENTAL GROUP, LLP

MEDICARE: ALAMEDA CROSSING DENTAL GROUP, LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1063576072
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAMEDA CROSSING DENTAL GROUP, LLP
Provider Business Mailing Address
First Line : 2860 MICHELLE
Second Line : 2ND FLOOR
City : IRVINE
State : CA
Zip : 92606-1009
Country : US
Telephone Number : 714-508-3600
Fax Number : 714-368-2092
Provider Business Practice Location Address
First Line : 1619 N DYSART RD
Second Line : STE. 105
City : AVONDALE
State : AZ
Zip : 85392-1200
Country : US
Telephone Number : 623-935-6278
Fax Number : 623-935-6285
Authorized Official
Title or Position : OWNER DDS
Name : DR. BRIAN D. BUEHLER
Credential : DDS
Telephone Number : 623-935-6278
Provider Enumeration Date : 12/21/2006
Last Update Date : 04/12/2010

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