# ADRIAN ACOSTA DDS,A PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679740864
- **Authorized official:** ADRIAN ACOSTA D.D.S. (PRESIDENT)
- **Authorized official phone:** (562) 905-8338

## Contact information

- **Practice address:** 901 W WHITTIER BLVD, LA HABRA, CA 90631-3743
- **Practice address phone:** (562) 905-8338
- **Mailing address:** 901 W WHITTIER BLVD, LA HABRA, CA 90631-3743
- **Mailing address phone:** (562) 905-8338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 33769 | CA | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008