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Organization

ATHENA MEDICAL GROUP OF THE CENTRAL COAST, INC.

Active
Parent organization
ATHENA MEDICAL GROUP OF THE CENTRAL COAST
Other names
ARIA DENTAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATHENA MEDICAL GROUP OF THE CENTRAL COAST
Authorized official
WILLIAM KHIEU MD (PRESIDENT)
(831) 665-6084
Entity
Organization

Contact information

Practice address
515 ALAMEDA AVE STE A, SALINAS, CA 93901-4024
(831) 900-5113
(831) 900-5113
Mailing address
PO BOX 10627, SALINAS, CA 93912-7627

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/17/2021
Last updated
05/17/2021
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