| I Smile Dental Group | |
|
2710 N Grand Ave Santa Ana CA 92705-8750 | |
| (171) 460-2632 | |
| (714) 602-6275 |
| Full Name | I Smile Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2710 N Grand Ave, Santa Ana, California |
| Authorized Official Name and Position | Tu Quynh Nguyen (PROVIDER) |
| Authorized Official Contact | 17146026327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Smile Dental Group 2710 N Grand Ave Santa Ana CA 92705-8750 Ph: (171) 460-2632 | I Smile Dental Group 2710 N Grand Ave Santa Ana CA 92705-8750 Ph: (171) 460-2632 |
| NPI Number | 1417497330 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417497330 | NPI | - | NPPES |
| 49617 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49617 (California) | Primary |
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