Jade Family Dental Care | |
13212 Harbor Blvd Garden Grove CA 92843-1737 | |
(714) 638-9999 | |
(714) 638-0697 |
Full Name | Jade Family Dental Care |
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Speciality | Dentist - General Practice |
Location | 13212 Harbor Blvd, Garden Grove, California |
Authorized Official Name and Position | Arceli Perez Diaz (DENTIST/PARTNER-OWNER) |
Authorized Official Contact | 7146389999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jade Family Dental Care 13212 Harbor Blvd Garden Grove CA 92843-1737 Ph: (714) 638-9999 | Jade Family Dental Care 13212 Harbor Blvd Garden Grove CA 92843-1737 Ph: (714) 638-9999 |
NPI Number | 1982904355 |
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Provider Enumeration Date | 11/01/2010 |
Last Update Date | 11/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982904355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42647 (California) | Primary |
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