| Ideal Dental Care | |
|
1098 N State College Blvd Ste A Anaheim CA 92806-2701 | |
| (714) 778-4605 | |
| (714) 778-4608 |
| Full Name | Ideal Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1098 N State College Blvd Ste A, Anaheim, California |
| Authorized Official Name and Position | Lorie Minor Scott (CONSULTANT) |
| Authorized Official Contact | 9492589828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Care 1098 N State College Blvd Ste A Anaheim CA 92806-2701 Ph: (714) 778-4605 | Ideal Dental Care 1098 N State College Blvd Ste A Anaheim CA 92806-2701 Ph: (714) 778-4605 |
| NPI Number | 1841655628 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841655628 | NPI | - | NPPES |
| D24464 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54422 (California) | Primary |
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