| Real Dentistry | |
|
1235 N Harbor Blvd Ste 100 Fullerton CA 92832-1323 | |
| (714) 525-2888 | |
| (714) 525-2123 |
| Full Name | Real Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1235 N Harbor Blvd Ste 100, Fullerton, California |
| Authorized Official Name and Position | Gundong Lee (CEO) |
| Authorized Official Contact | 9098001994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Dentistry 1235 N Harbor Blvd Ste 100 Fullerton CA 92832-1323 Ph: (714) 525-2888 | Real Dentistry 1235 N Harbor Blvd Ste 100 Fullerton CA 92832-1323 Ph: (714) 525-2888 |
| NPI Number | 1164987673 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164987673 | NPI | - | NPPES |
| 1366812026 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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