Friendly Smile Dental | |
1521 N Broadway Santa Ana CA 92706-3906 | |
(714) 972-2801 | |
Not Available |
Full Name | Friendly Smile Dental |
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Speciality | Dentist - General Practice |
Location | 1521 N Broadway, Santa Ana, California |
Authorized Official Name and Position | Huy Trong Than (PRESIDENT) |
Authorized Official Contact | 7149722801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Friendly Smile Dental 1521 N Broadway Santa Ana CA 92706-3906 Ph: (714) 972-2801 | Friendly Smile Dental 1521 N Broadway Santa Ana CA 92706-3906 Ph: (714) 972-2801 |
NPI Number | 1871752006 |
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Provider Enumeration Date | 06/03/2008 |
Last Update Date | 06/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871752006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 54589 (California) | Primary |
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