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7540 Orangethorpe Ave Ste A1 Buena Park CA 90621-3458 | |
| (714) 576-2540 | |
| (714) 576-2540 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7540 Orangethorpe Ave Ste A1, Buena Park, California |
| Authorized Official Name and Position | Swati Shetty (OWNER) |
| Authorized Official Contact | 7145762540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | 7540 Orangethorpe Ave Ste A1 Buena Park CA 90621-3458 Ph: (714) 576-2540 |
| NPI Number | 1023515558 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023515558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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