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12802 Valley View St. Ste. 2 Garden Grove CA 92845 | |
| (714) 995-9700 | |
| (714) 995-2416 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12802 Valley View St., Garden Grove, California |
| Authorized Official Name and Position | Clara Nguyen (OWNER) |
| Authorized Official Contact | 7149959700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12802 Valley View St Ste 2 Garden Grove CA 92845-2511 Ph: (714) 995-9700 | 12802 Valley View St. Ste. 2 Garden Grove CA 92845 Ph: (714) 995-9700 |
| NPI Number | 1417483124 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417483124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55617 (California) | Primary |
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