| Children & Adult Dentistry- Santa Ana | |
|
512 W 17th St Ste B Santa Ana CA 92706-3678 | |
| (714) 210-0169 | |
| (714) 972-0162 |
| Full Name | Children & Adult Dentistry- Santa Ana |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 512 W 17th St Ste B, Santa Ana, California |
| Authorized Official Name and Position | David Park (OWNER) |
| Authorized Official Contact | 7142100169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children & Adult Dentistry- Santa Ana 512 W 17th St Ste B Santa Ana CA 92706-3678 Ph: (714) 210-0169 | Children & Adult Dentistry- Santa Ana 512 W 17th St Ste B Santa Ana CA 92706-3678 Ph: (714) 210-0169 |
| NPI Number | 1194215442 |
|---|---|
| Provider Enumeration Date | 05/12/2018 |
| Last Update Date | 05/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194215442 | NPI | - | NPPES |
| 53724 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53724 (California) | Primary |
U Dream Dental - Santa Ana Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 W 17th St, Santa Ana, CA 92706 Phone: 714-881-1441 Fax: 714-881-1448 | |
Koh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2509 W Mcfadden Ave, Suite E, Santa Ana, CA 92704 Phone: 714-835-8797 Fax: 714-835-8797 | |
Andy Ngan Tran Dmd Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 2739 W Edinger Ave, Santa Ana, CA 92704 Phone: 714-957-0308 Fax: 714-957-5845 | |
First Street Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 East First Street, Suite 230, Santa Ana, CA 92705 Phone: 714-546-5579 Fax: 714-542-2785 | |
Altamed Health Services Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W Sunflower Ave, Rooms 243-244, 252 & 254, Santa Ana, CA 92704 Phone: 714-274-0373 Fax: 323-597-2113 | |
Sergio R. Aguilar, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 N Main St Ste 120, Santa Ana, CA 92701 Phone: 714-835-4057 Fax: 714-835-4058 | |
Pinales Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 S Main St, Santa Ana, CA 92707 Phone: 714-542-7272 Fax: 714-541-6399 |