|
| |
|
1460 N Harbor Blvd Ste 120 Fullerton CA 92835-4158 | |
| (714) 773-9999 | |
| (714) 773-9997 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1460 N Harbor Blvd Ste 120, Fullerton, California |
| Authorized Official Name and Position | Michael Barron Han (OWNER) |
| Authorized Official Contact | 7147739999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1460 N Harbor Blvd Ste 120 Fullerton CA 92835-4158 Ph: (714) 773-9999 | 1460 N Harbor Blvd Ste 120 Fullerton CA 92835-4158 Ph: (714) 773-9999 |
| NPI Number | 1225539687 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225539687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 102083 (California) | Primary |
Dr. Alice Skuben D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 N Raymond Ave, Fullerton, CA 92831 Phone: 714-870-2000 | |
United Dental Fullerton Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1961 W Malvern Ave Ste G, Fullerton, CA 92833 Phone: 714-525-6900 | |
Bom Jeon Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833 Phone: 714-879-2828 | |
Polina F Rhoudenko Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Laguna Rd Ste 210, Fullerton, CA 92835 Phone: 714-716-1783 | |