Provider Demographics
NPI:1396064630
Name:HILL TOP DENTAL, L.L.C.
Entity type:Organization
Organization Name:HILL TOP DENTAL, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:LE HUAN CUA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-933-5407
Mailing Address - Street 1:14181 FRANCES ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4113
Mailing Address - Country:US
Mailing Address - Phone:714-962-8884
Mailing Address - Fax:714-962-3777
Practice Address - Street 1:9430 WARNER AVE STE H
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2826
Practice Address - Country:US
Practice Address - Phone:714-962-8884
Practice Address - Fax:714-962-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA579611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty