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NPI Code Detail

MEDICARE: QUAN DDS DENTAL CORPORATION

MEDICARE: QUAN DDS DENTAL CORPORATION
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
1122300000XDentist
21223P0221XPediatric Dentistry

General Provider Information

NPI Number : 1598541872
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUAN DDS DENTAL CORPORATION
Provider Business Mailing Address
First Line : 10451 BOLSA AVE STE 218
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-6785
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6855 WARNER AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5303
Country : US
Telephone Number : 714-465-4178
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VAN-KHOA QUAN
Credential : DDS
Telephone Number : 714-465-4178
Provider Enumeration Date : 09/04/2023
Last Update Date : 09/07/2023

Similar Medicare Providers

1518354653 — VAN-KHOA QUAN DDS
Practice Location Address:
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Directions to “QUAN DDS DENTAL CORPORATION ” Practice Location

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