| Fresh Orthodontics And Pediatric Dentistry | |
|
626 S Primrose Ave Monrovia CA 91016-3434 | |
| (626) 893-4484 | |
| Not Available |
| Full Name | Fresh Orthodontics And Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 626 S Primrose Ave, Monrovia, California |
| Authorized Official Name and Position | Christine Chu (PRESIDENT) |
| Authorized Official Contact | 6267755118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Orthodontics And Pediatric Dentistry 626 S Primrose Ave Monrovia CA 91016-3434 Ph: () - | Fresh Orthodontics And Pediatric Dentistry 626 S Primrose Ave Monrovia CA 91016-3434 Ph: (626) 893-4484 |
| NPI Number | 1629589759 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629589759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 61087 (California) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 64248 (California) | Primary |
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