Adrian Acosta DDS a Professional Dental Corp
NPI #1114700994 in Fullerton, California
Provider Information
- NPI Number
- 1114700994
- Entity Type
- Organization
- Organization Name
- Adrian Acosta DDS a Professional Dental Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADRIAN ACOSTA DDS A PROFESSIONAL DE
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 16, 2023
- Last Updated
- Aug 16, 2023
Practice Location
- Address
- 1961 W. MALVERN AVE
- Address 2
- SUITE G
- City
- Fullerton
- State
- California
- ZIP Code
- 92833-2177
- Phone
- (562) 356-0948
Authorized Official
- Name
- ALAN BOVAL
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (562) 356-0948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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