| Lollipop Pediatric Dentistry | |
|
1041 E Yorba Linda Blvd Suite 206 Placentia CA 92870-3728 | |
| (714) 528-8252 | |
| Not Available |
| Full Name | Lollipop Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1041 E Yorba Linda Blvd, Placentia, California |
| Authorized Official Name and Position | Mary Regina Pham (OWNER) |
| Authorized Official Contact | 7145288252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lollipop Pediatric Dentistry 1041 E Yorba Linda Blvd Suite 206 Placentia CA 92870-3728 Ph: (714) 528-8252 | Lollipop Pediatric Dentistry 1041 E Yorba Linda Blvd Suite 206 Placentia CA 92870-3728 Ph: (714) 528-8252 |
| NPI Number | 1326309329 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326309329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 60222 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 58404 (California) | Secondary |
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