Sandra Parker Dds, Inc. | |
807 E Katella Ave Orange CA 92867-4920 | |
(714) 289-0421 | |
(714) 289-0408 |
Full Name | Sandra Parker Dds, Inc. |
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Speciality | Clinic/center - Dental |
Location | 807 E Katella Ave, Orange, California |
Authorized Official Name and Position | Sandra Parker (SHARE HOLDER) |
Authorized Official Contact | 7142890421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sandra Parker Dds, Inc. 807 E Katella Ave Orange CA 92867-4920 Ph: (714) 289-0421 | Sandra Parker Dds, Inc. 807 E Katella Ave Orange CA 92867-4920 Ph: (714) 289-0421 |
NPI Number | 1558680264 |
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Provider Enumeration Date | 05/19/2010 |
Last Update Date | 05/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558680264 | NPI | - | NPPES |
G93900-01 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 50505 (California) | Primary |
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