| Grace Dental Image Center | |
|
1210 S Euclid St La Habra CA 90631-7306 | |
| (714) 871-4962 | |
| Not Available |
| Full Name | Grace Dental Image Center |
|---|---|
| Speciality | Dentist |
| Location | 1210 S Euclid St, La Habra, California |
| Authorized Official Name and Position | Helena Lee (OFFICE MANAGER) |
| Authorized Official Contact | 7148714962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Image Center 1210 S Euclid St La Habra CA 90631-7306 Ph: (714) 871-4962 | Grace Dental Image Center 1210 S Euclid St La Habra CA 90631-7306 Ph: (714) 871-4962 |
| NPI Number | 1902158397 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902158397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37587 (California) | Primary |
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