21st Century Dental
Clinic/Center, Dental in Huntington Beach, CA. Organization (NPI-2).
NPI number1477097616
StatusActive
Last updated in NPPESDec 7, 2016
Details
- NPI
- 1477097616
- Entity type
- Organization (NPI-2)
- Legal business name
- 21st Century Dental
- Organization subpart
- No
- Enumeration date
- Dec 7, 2016
- Last updated
- Dec 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 41079 | CA | Yes |
Practice location
8907 Warner Ave Ste 100Huntington Beach, CA 92647-5079
Phone 714-848-7777 · Fax 714-848-7388
Mailing address
8907 Warner Ave. #100Huntington Beach, CA 92647
Phone 714-848-7777 · Fax 714-848-7388
Authorized official
Darin Fong
Owner/President
7148487777
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