21St Century Dental
Organization Active NPI Dental Clinic/Center · Huntington Beach, CA
NPI 1477097616 · NPPES record last updated Dec 7, 2016
Key facts
- NPI
- 1477097616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 41079 (CA)
- Legal business name
- 21ST CENTURY DENTAL
- Practice address
- 8907 Warner Ave Ste 100
Huntington Beach, CA 92647-5079 - Phone
- (714) 848-7777
- Fax
- (714) 848-7388
- NPI assigned
- Dec 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Darin Fong, DDS
- Title
- Owner/President
- Phone
- (714) 848-7777
Practitioners 2
-
Debra Lynn Bolla, DDS
-
Darin Fong, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 41079 | CA | Yes |
Addresses
Primary practice location
8907 Warner Ave Ste 100
Huntington Beach, CA 92647-5079
Mailing address
8907 Warner Ave. #100
Huntington Beach, CA 92647
Phone (714) 848-7777
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.