Organization
GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ABDUL-FIELAT DDS (CHIEF ADMINISTRATIVE OFFICER)
(951) 818-6017
Entity
Organization
Contact information
Practice address
12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
(714) 844-9212
(714) 844-9212
Mailing address
12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
(714) 844-9212
(714) 844-9212
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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