| John Skenandore Dds A Professional Corporation | |
|
5247 Lampson Ave Garden Grove CA 92845-1953 | |
| (801) 259-0698 | |
| Not Available |
| Full Name | John Skenandore Dds A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5247 Lampson Ave, Garden Grove, California |
| Authorized Official Name and Position | John Skenandore (DENTIST) |
| Authorized Official Contact | 8012590698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Skenandore Dds A Professional Corporation 360 E 1st St # 364 Tustin CA 92780-3211 Ph: (801) 259-0698 | John Skenandore Dds A Professional Corporation 5247 Lampson Ave Garden Grove CA 92845-1953 Ph: (801) 259-0698 |
| NPI Number | 1396490181 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 02/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396490181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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