| Irvine Kid's Dentist | |
|
4980 Barranca Pkwy Ste 101 Irvine CA 92604-8654 | |
| (949) 653-2828 | |
| Not Available |
| Full Name | Irvine Kid's Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4980 Barranca Pkwy Ste 101, Irvine, California |
| Authorized Official Name and Position | Carolyn E Chong (CO-OWNER) |
| Authorized Official Contact | 9496532828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Kid's Dentist 4980 Barranca Pkwy Ste 101 Irvine CA 92604-8654 Ph: (949) 653-2828 | Irvine Kid's Dentist 4980 Barranca Pkwy Ste 101 Irvine CA 92604-8654 Ph: (949) 653-2828 |
| NPI Number | 1992549505 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992549505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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