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23741 La Palma Ave Ste C Yorba Linda CA 92887-5539 | |
| (714) 692-5001 | |
| (714) 692-5003 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23741 La Palma Ave Ste C, Yorba Linda, California |
| Authorized Official Name and Position | Jasmine Gill (OWNER) |
| Authorized Official Contact | 9096316384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4931 Firebird Ct Riverside CA 92509-5426 Ph: (909) 631-6384 | 23741 La Palma Ave Ste C Yorba Linda CA 92887-5539 Ph: (714) 692-5001 |
| NPI Number | 1053823542 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053823542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56489 (California) | Primary |
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