| Hideki Ikeda D.d.s., M.s., Dental Corporation | |
|
12777 Valley View St.. Suite 222 Garden Grove CA 92845 | |
| (714) 893-7539 | |
| (714) 893-6736 |
| Full Name | Hideki Ikeda D.d.s., M.s., Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12777 Valley View St.., Garden Grove, California |
| Authorized Official Name and Position | Hideki Ikeda (DENTIST) |
| Authorized Official Contact | 7148937539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hideki Ikeda D.d.s., M.s., Dental Corporation 12777 Valley View St.. Suite 222 Garden Grove CA 92845 Ph: (714) 893-7539 | Hideki Ikeda D.d.s., M.s., Dental Corporation 12777 Valley View St.. Suite 222 Garden Grove CA 92845 Ph: (714) 893-7539 |
| NPI Number | 1205114501 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205114501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 58404 (California) | Primary |
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