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8751 Valley View Street Suite #b Buena Park CA 90620 | |
| (714) 827-2545 | |
| (714) 827-0506 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8751 Valley View Street, Buena Park, California |
| Authorized Official Name and Position | Randall T Kanemaki (OWNER) |
| Authorized Official Contact | 7148272545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8751 Valley View Street Suite #b Buena Park CA 90620 Ph: (714) 827-2545 | 8751 Valley View Street Suite #b Buena Park CA 90620 Ph: (714) 827-2545 |
| NPI Number | 1033255435 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033255435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22627 (California) | Primary |
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