MEDICARE: T BEST DANTAL GROUP. INC

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
1	1223G0001X	General Practice Dentistry	35234	CA

General Provider Information

NPI Number	:	1942569652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T BEST DANTAL GROUP. INC

Provider Business Mailing Address
First Line	:	1015 NOGALES ST STE 101
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-1309
Country	:	US
Telephone Number	:	626-965-6723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 NOGALES ST STE 101
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-1309
Country	:	US
Telephone Number	:	626-965-6723
Fax Number	:

Authorized Official
Title or Position	:	DDS
Name	:	HSUEH LI CHENG
Credential	:
Telephone Number	:	626-965-6723

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/15/2012

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