Cox Dental Corporation
Dentist in Brea, CA. Organization (NPI-2).
NPI number1164873014
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1164873014
- Entity type
- Organization (NPI-2)
- Legal business name
- Cox Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jun 22, 2016
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 26160 | CA | Yes |
Other names
- Gentle Dental Brea (Doing Business As)
Practice location
715 E Birch StSte A
Brea, CA 92821-5704
Phone 714-332-1006 · Fax 714-482-0125
Mailing address
1101 Se Tech Center DriveSte 195
Vancouver, WA 98683-5511
Phone 800-684-6440 · Fax 877-725-7443
Authorized official
William J Cox
President
8006846440
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