Anaheim Dental Group | |
40 E Orangethorpe Ave Anaheim CA 92801-1206 | |
(213) 453-4368 | |
(714) 281-8200 |
Full Name | Anaheim Dental Group |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 40 E Orangethorpe Ave, Anaheim, California |
Authorized Official Name and Position | Seok Hwan Son (CEO) |
Authorized Official Contact | 7148706611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anaheim Dental Group 40 E Orangethorpe Ave Anaheim CA 92801-1206 Ph: (213) 453-4368 | Anaheim Dental Group 40 E Orangethorpe Ave Anaheim CA 92801-1206 Ph: (213) 453-4368 |
NPI Number | 1740791060 |
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Provider Enumeration Date | 10/12/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740791060 | NPI | - | NPPES |
1366654832 | Other | CA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 52471 (California) | Primary |
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