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16691 Yorba Linda Blvd Yorba Linda CA 92886-2046 | |
| (714) 854-9920 | |
| (714) 854-9915 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16691 Yorba Linda Blvd, Yorba Linda, California |
| Authorized Official Name and Position | Sylvia Andrade (OFFICE MANAGER) |
| Authorized Official Contact | 7148549920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16691 Yorba Linda Blvd Yorba Linda CA 92886-2046 Ph: (714) 854-9920 | 16691 Yorba Linda Blvd Yorba Linda CA 92886-2046 Ph: (714) 854-9920 |
| NPI Number | 1144544990 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144544990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 52732 (California) | Primary |
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