| Golden Age Dental Care | |
|
701 S Raymond Ave Suite 4b Fullerton CA 92831-5201 | |
| (714) 992-2999 | |
| (714) 992-0759 |
| Full Name | Golden Age Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 S Raymond Ave, Fullerton, California |
| Authorized Official Name and Position | Samuel D Berke (PRESIDENT) |
| Authorized Official Contact | 7149922999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Age Dental Care 701 S Raymond Ave Suite 4b Fullerton CA 92831-5201 Ph: (714) 992-2999 | Golden Age Dental Care 701 S Raymond Ave Suite 4b Fullerton CA 92831-5201 Ph: (714) 992-2999 |
| NPI Number | 1508289489 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508289489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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