| Healthy Smiles For Kids Of Orange County | |
|
10602 Chapman Ave Suite 200 Garden Grove CA 92840-3103 | |
| (714) 537-0700 | |
| (714) 537-0733 |
| Full Name | Healthy Smiles For Kids Of Orange County |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10602 Chapman Ave, Garden Grove, California |
| Authorized Official Name and Position | Elizabeth A Bear (CEO) |
| Authorized Official Contact | 7145370700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles For Kids Of Orange County 10602 Chapman Ave Suite 200 Garden Grove CA 92840-3103 Ph: (714) 537-0700 | Healthy Smiles For Kids Of Orange County 10602 Chapman Ave Suite 200 Garden Grove CA 92840-3103 Ph: (714) 537-0700 |
| NPI Number | 1720292949 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 12/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720292949 | NPI | - | NPPES |
| G94040-01 | Other | CA | MEDI-CAL |
| G94040-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 550000106 (California) | Primary |
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