| |
1718 W Orangethorpe Ave Suite 240 Fullerton CA 92831-5241 | |
(714) 525-3855 | |
(714) 526-2029 |
Full Name | |
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Speciality | Dentist |
Location | 1718 W Orangethorpe Ave, Fullerton, California |
Authorized Official Name and Position | Lorilee Schmidt (PRESIDENT) |
Authorized Official Contact | 7145786358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Spectrum Center Drive Suite 1500 Irvine CA 92618 Ph: (714) 578-6358 | 1718 W Orangethorpe Ave Suite 240 Fullerton CA 92831-5241 Ph: (714) 525-3855 |
NPI Number | 1770654410 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 10/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770654410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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