| California Dental Group Of West Santa Ana | |
|
642 S Harbor Blvd Santa Ana CA 92704-1383 | |
| (714) 775-0202 | |
| (714) 775-8735 |
| Full Name | California Dental Group Of West Santa Ana |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 642 S Harbor Blvd, Santa Ana, California |
| Authorized Official Name and Position | Michelle Truc Bui (PRESIDENT) |
| Authorized Official Contact | 7147750202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Dental Group Of West Santa Ana 642 S Harbor Blvd Santa Ana CA 92704-1383 Ph: (714) 775-0202 | California Dental Group Of West Santa Ana 642 S Harbor Blvd Santa Ana CA 92704-1383 Ph: (714) 775-0202 |
| NPI Number | 1215102637 |
|---|---|
| Provider Enumeration Date | 04/26/2008 |
| Last Update Date | 04/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215102637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53054 (California) | Primary |
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