| Jsc Dental Studio | |
|
7372 Walnut Ave Ste C Buena Park CA 90620-1718 | |
| (714) 266-0523 | |
| Not Available |
| Full Name | Jsc Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7372 Walnut Ave Ste C, Buena Park, California |
| Authorized Official Name and Position | Jim Misto (CEO) |
| Authorized Official Contact | 7147231398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsc Dental Studio 2626 W Ball Rd Apt H1 Anaheim CA 92804-5097 Ph: (714) 723-1398 | Jsc Dental Studio 7372 Walnut Ave Ste C Buena Park CA 90620-1718 Ph: (714) 266-0523 |
| NPI Number | 1952089005 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952089005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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