| Bleach Dental | |
|
11100 Warner Ave Ste 160 Fountain Valley CA 92708-7510 | |
| (714) 799-9945 | |
| (657) 218-9699 |
| Full Name | Bleach Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11100 Warner Ave Ste 160, Fountain Valley, California |
| Authorized Official Name and Position | Kouichi Cliff Itoh (DENTIST) |
| Authorized Official Contact | 7147999945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bleach Dental 11100 Warner Ave Ste 160 Fountain Valley CA 92708-7510 Ph: (714) 799-9945 | Bleach Dental 11100 Warner Ave Ste 160 Fountain Valley CA 92708-7510 Ph: (714) 799-9945 |
| NPI Number | 1720692890 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720692890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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