Organization
21ST CENTURY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN FONG DDS (OWNER/PRESIDENT)
(714) 848-7777
Entity
Organization
Contact information
Practice address
8907 WARNER AVE STE 100, HUNTINGTON BEACH, CA 92647-5079
(714) 848-7777
(714) 848-7388
Mailing address
8907 WARNER AVE. #100, HUNTINGTON BEACH, CA 92647
(714) 848-7777
(714) 848-7388
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41079
CA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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