| Orthodontic Center Of Orange County | |
|
1920 E 17th St Suite 120 Santa Ana CA 92705-8626 | |
| (714) 972-9222 | |
| (714) 558-8618 |
| Full Name | Orthodontic Center Of Orange County |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1920 E 17th St, Santa Ana, California |
| Authorized Official Name and Position | Alex G. Gladkov (OWNER) |
| Authorized Official Contact | 7149729222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Center Of Orange County 1920 E 17th St Suite 120 Santa Ana CA 92705-8626 Ph: (714) 972-9222 | Orthodontic Center Of Orange County 1920 E 17th St Suite 120 Santa Ana CA 92705-8626 Ph: (714) 972-9222 |
| NPI Number | 1194196436 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194196436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 40822 (California) | Primary |
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