| 4 Ever Smile Dental Group | |
|
1140 S San Gabriel Blvd San Gabriel CA 91776-3115 | |
| (626) 643-5353 | |
| (626) 614-0191 |
| Full Name | 4 Ever Smile Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1140 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Peggy Y Kang (CEO) |
| Authorized Official Contact | 6266435353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Ever Smile Dental Group 1140 S San Gabriel Blvd San Gabriel CA 91776-3115 Ph: (626) 643-5353 | 4 Ever Smile Dental Group 1140 S San Gabriel Blvd San Gabriel CA 91776-3115 Ph: (626) 643-5353 |
| NPI Number | 1750620241 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750620241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60410 (California) | Primary |
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