|
| |
|
1105 S Euclid St Suite E Fullerton CA 92832-2850 | |
| (714) 738-0304 | |
| Not Available |
| Full Name | |
|---|---|
| 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 |
|---|---|
1105 S Euclid St Suite E Fullerton CA 92832-2850 Ph: (714) 738-0304 | 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 |
Dr. Alice Skuben D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 N Raymond Ave, Fullerton, CA 92831 Phone: 714-870-2000 | |
United Dental Fullerton Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1961 W Malvern Ave Ste G, Fullerton, CA 92833 Phone: 714-525-6900 | |
Bom Jeon Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833 Phone: 714-879-2828 | |
Polina F Rhoudenko Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Laguna Rd Ste 210, Fullerton, CA 92835 Phone: 714-716-1783 | |