| California Dental Group Of South Anaheim | |
|
2300 S Harbor Blvd Anaheim CA 92802-3518 | |
| (714) 750-3030 | |
| Not Available |
| Full Name | California Dental Group Of South Anaheim |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2300 S Harbor Blvd, Anaheim, California |
| Authorized Official Name and Position | Jason H Morgan (OWNER CEO) |
| Authorized Official Contact | 2082290403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Dental Group Of South Anaheim 1803 Ellis Ave Caldwell ID 83605-4810 Ph: (208) 229-0403 | California Dental Group Of South Anaheim 2300 S Harbor Blvd Anaheim CA 92802-3518 Ph: (714) 750-3030 |
| NPI Number | 1801382049 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801382049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DDS50648 (California) | Primary |
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