17th Street Modern Dentistry Dental Group is a Dental Clinic in Costa Mesa, California. It is located at 270 E 17th St Ste 15, Costa Mesa, CA and its contact number is 714-224-0480. The authorized person for 17th Street Modern Dentistry Dental Group is Clint Walker
who is Owner of the clinic and their contact number is 714-224-0480. 17th Street Modern Dentistry Dental Group Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
17th Street Modern Dentistry Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
17th Street Modern Dentistry Dental Group
Specialization:
Dentistry
Clinic Address:
270 E 17th St Ste 15, Costa Mesa, California, 92627-3845
Phone:
714-224-0480
Fax:
714-224-0480
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Clint Walker
Position:
Owner
Contact Number:
714-224-0480
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 17th Street Modern Dentistry Dental Group clinic are as mentioned below.
NPI Number:
1790273829
NPI Enumeration Date:
24 Apr, 2018
NPI Last Update On:
11 May, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 17th Street Modern Dentistry Dental Group are as mentioned below.
Specialization
License Number
State
Status
Dentist
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
17th Street Modern Dentistry Dental Group Po Box 920050, Dallas, Texas
Zip:
75392-0050
Phone Number:
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Fax Number:
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Patients can reach 17th Street Modern Dentistry Dental Group at 270 E 17th St Ste 15, Costa Mesa, California or can call to book an appointment on 714-224-0480. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.