Santa Ana Smiles | |
1617 E 1st St Suite A Santa Ana CA 92701-6385 | |
(714) 617-5048 | |
(714) 617-5041 |
Full Name | Santa Ana Smiles |
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Speciality | Dentist |
Location | 1617 E 1st St, Santa Ana, California |
Authorized Official Name and Position | Asal Gardner (OWNER/PROVIDER) |
Authorized Official Contact | 9098007195 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Santa Ana Smiles 1617 E 1st St Suite A Santa Ana CA 92701-6385 Ph: (714) 617-5048 | Santa Ana Smiles 1617 E 1st St Suite A Santa Ana CA 92701-6385 Ph: (714) 617-5048 |
NPI Number | 1982032579 |
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Provider Enumeration Date | 10/17/2013 |
Last Update Date | 10/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982032579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 61418 (California) | Primary |
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