| Anaheim Pediatric Dentistry | |
|
408 S Beach Blvd Suite 201 Anaheim CA 92804-1853 | |
| (714) 229-8100 | |
| (714) 229-8130 |
| Full Name | Anaheim Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 408 S Beach Blvd, Anaheim, California |
| Authorized Official Name and Position | Kathy Ying (PRESIDENT/OWNER) |
| Authorized Official Contact | 7142298100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaheim Pediatric Dentistry 408 S Beach Blvd Suite 201 Anaheim CA 92804-1853 Ph: (714) 229-8100 | Anaheim Pediatric Dentistry 408 S Beach Blvd Suite 201 Anaheim CA 92804-1853 Ph: (714) 229-8100 |
| NPI Number | 1962656041 |
|---|---|
| Provider Enumeration Date | 11/16/2008 |
| Last Update Date | 11/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962656041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 47590 (California) | Primary |
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