| My Home Dental Group - Buena Park Pediatric Dentistry | |
|
5661 Beach Blvd Ste 100 Buena Park CA 90621-1969 | |
| (714) 994-2121 | |
| Not Available |
| Full Name | My Home Dental Group - Buena Park Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5661 Beach Blvd Ste 100, Buena Park, California |
| Authorized Official Name and Position | Hannah Jiyoung Song (PEDIATRIC DENTIST/ C.F.O.) |
| Authorized Official Contact | 7149942121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Home Dental Group - Buena Park Pediatric Dentistry 5661 Beach Blvd Ste 100 Buena Park CA 90621-1969 Ph: (714) 994-2121 | My Home Dental Group - Buena Park Pediatric Dentistry 5661 Beach Blvd Ste 100 Buena Park CA 90621-1969 Ph: (714) 994-2121 |
| NPI Number | 1619215175 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619215175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 58464 (California) | Primary |
Dentists Of Buena Park Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 Phone: 714-576-2540 Fax: 714-576-2540 | |
Randall T Kanemaki Dds Randall T Kanemaki Dr Kanemaki Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8751 Valley View Street, Suite #b, Buena Park, CA 90620 Phone: 714-827-2545 Fax: 714-827-0506 | |
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Yoon Smile Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Beach Blvd Ste 105, Buena Park, CA 90620 Phone: 714-886-2270 Fax: 714-886-2264 | |
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Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5971 Lincoln Ave, Buena Park, CA 90620 Phone: 714-995-3976 Fax: 714-995-7124 |