| Cypress Grove Dental Group | |
|
11939 Valley View St Garden Grove CA 92845-1238 | |
| (714) 891-0600 | |
| (714) 898-3705 |
| Full Name | Cypress Grove Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11939 Valley View St, Garden Grove, California |
| Authorized Official Name and Position | Dan Spears (OWNER) |
| Authorized Official Contact | 7148910600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Grove Dental Group 11939 Valley View St Garden Grove CA 92845-1238 Ph: (714) 891-0600 | Cypress Grove Dental Group 11939 Valley View St Garden Grove CA 92845-1238 Ph: (714) 891-0600 |
| NPI Number | 1629356456 |
|---|---|
| Provider Enumeration Date | 07/27/2011 |
| Last Update Date | 07/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629356456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 37165 (California) | Primary |
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