| Fullerton Dental Care | |
|
170 N Raymond Ave Fullerton CA 92831-4610 | |
| (714) 870-2000 | |
| Not Available |
| Full Name | Fullerton Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 170 N Raymond Ave, Fullerton, California |
| Authorized Official Name and Position | Asal Sahar Kohandel-shirazi (OWNER DENTIST) |
| Authorized Official Contact | 7148702000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton Dental Care 170 N Raymond Ave Fullerton CA 92831-4610 Ph: (714) 870-2000 | Fullerton Dental Care 170 N Raymond Ave Fullerton CA 92831-4610 Ph: (714) 870-2000 |
| NPI Number | 1265776090 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265776090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56123 (California) | Primary |
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