| Northpark Dental | |
|
3971 Irvine Blvd Ste. 102 Irvine CA 92602-2482 | |
| (714) 368-3319 | |
| Not Available |
| Full Name | Northpark Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3971 Irvine Blvd, Irvine, California |
| Authorized Official Name and Position | James Kim (VICE PRESIDENT) |
| Authorized Official Contact | 7143683319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northpark Dental 3971 Irvine Blvd Ste. 102 Irvine CA 92602-2482 Ph: (714) 368-3319 | Northpark Dental 3971 Irvine Blvd Ste. 102 Irvine CA 92602-2482 Ph: (714) 368-3319 |
| NPI Number | 1871769109 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871769109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48658 (California) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 43617 (California) | Secondary |
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