| Fullerton Pediatric Dentistry | |
|
100 E Valencia Mesa Dr Ste 102 Fullerton CA 92835 | |
| (714) 992-5437 | |
| (714) 870-3085 |
| Full Name | Fullerton Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 E Valencia Mesa Dr, Fullerton, California |
| Authorized Official Name and Position | Richard Sang Lee (VP) |
| Authorized Official Contact | 7149925437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton Pediatric Dentistry 100 E Valencia Mesa Dr Ste 102 Fullerton CA 92835 Ph: (714) 992-5437 | Fullerton Pediatric Dentistry 100 E Valencia Mesa Dr Ste 102 Fullerton CA 92835 Ph: (714) 992-5437 |
| NPI Number | 1558568527 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558568527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 44807 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 37335 (California) | Secondary |
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