| Lf Dental | |
|
22611 Lake Forest Dr Lake Forest CA 92630-1700 | |
| (909) 543-5075 | |
| (907) 334-1030 |
| Full Name | Lf Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22611 Lake Forest Dr, Lake Forest, California |
| Authorized Official Name and Position | Tae Hoon Park (CEO) |
| Authorized Official Contact | 9095435075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lf Dental 22611 Lake Forest Dr Lake Forest CA 92630-1700 Ph: (909) 543-5075 | Lf Dental 22611 Lake Forest Dr Lake Forest CA 92630-1700 Ph: (909) 543-5075 |
| NPI Number | 1952877854 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952877854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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