| Boston Hub Dental Group | |
|
10055 Garden Grove Blvd Garden Grove CA 92844-1600 | |
| (714) 638-4042 | |
| (714) 638-2141 |
| Full Name | Boston Hub Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 10055 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Sanghoon Park (CFO) |
| Authorized Official Contact | 7146384042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Hub Dental Group 10055 Garden Grove Blvd Garden Grove CA 92844-1600 Ph: (714) 638-4042 | Boston Hub Dental Group 10055 Garden Grove Blvd Garden Grove CA 92844-1600 Ph: (714) 638-4042 |
| NPI Number | 1285935486 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285935486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | #54608 (California) | Primary |
| 122300000X | Dentist | #53583 (California) | Secondary |
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