Bay Mesa Dental Office

LBN: Tk Ly Dental Corporation
Bay Mesa Dental Office is an health care organization with primary practice located at 2023 Harbor Blvd Suite D, Costa Mesa CA 92627-5552. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tk Ly Dental Corporation can be contacted via phone (949) 646-9000, or through Ly, Tuankiet Quoc via phone (949) 646-9000.

Contact Information

Primary practice address
2023 Harbor Blvd Suite D Costa Mesa CA 92627-5552
Phone: (949) 646-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ly, Tuankiet Quoc Doctor of Dental Surgery (DDS)
Phone: (949) 646-9000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48322 California

Profile Details

NPI number 1679803241
LBN Legal business name Tk Ly Dental Corporation
DBA Doing business as Bay Mesa Dental Office
Authorized official Ly, Tuankiet Quoc Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2010
Last updated Jan 5th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679803241 NPPES
California Other 48322 DENTAL BOARD OF CALIFORNIA
California Other 1043387228 DENTAL BOARD OF CALIFORNIA

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