| Ismile Dental | |
|
1105 S Euclid St Suite E Fullerton CA 92832-2850 | |
| (714) 738-0304 | |
| Not Available |
| Full Name | Ismile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1105 S Euclid St, Fullerton, California |
| Authorized Official Name and Position | Jung Wook Byun (PRESIDENT) |
| Authorized Official Contact | 9498786680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Dental 1105 S Euclid St Suite E Fullerton CA 92832-2850 Ph: (714) 738-0304 | Ismile Dental 1105 S Euclid St Suite E Fullerton CA 92832-2850 Ph: (714) 738-0304 |
| NPI Number | 1669866687 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669866687 | NPI | - | NPPES |
| 1104960574 | Other | CA | DENTI CAL |
| 1801936968 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48707 (California) | Primary |
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