| Orange County Children's Dentistry | |
|
1122 E Lincoln Ave Suite 212 Orange CA 92865-1907 | |
| (714) 497-2747 | |
| Not Available |
| Full Name | Orange County Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1122 E Lincoln Ave, Orange, California |
| Authorized Official Name and Position | Geraldine Enriqueta Ruiz (PRESIDENT) |
| Authorized Official Contact | 7144972747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange County Children's Dentistry 1122 E Lincoln Ave Suite 212 Orange CA 92865-1907 Ph: (714) 497-2747 | Orange County Children's Dentistry 1122 E Lincoln Ave Suite 212 Orange CA 92865-1907 Ph: (714) 497-2747 |
| NPI Number | 1679925390 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679925390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 62249 (California) | Primary |
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