Organization
ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
Active
Parent organization
ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
Other names
Gold Coast Dental Diamond Bar Specialty Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
Authorized official
ALAN BOVAL (CHIEF EXECUTIVE OFFICER)
(562) 356-0948
Entity
Organization
Contact information
Practice address
620 N. DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 860-5100
(866) 817-3581
Mailing address
901 W. WHITTIER BLVD, LA HABRA, CA 90631-3743
(562) 356-0948
(868) 817-3581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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