| Santa Clarita Children's Dental | |
|
27421 Tourney Rd Ste 180 Valencia CA 91355-5646 | |
| (661) 735-1500 | |
| (661) 799-7231 |
| Full Name | Santa Clarita Children's Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 27421 Tourney Rd Ste 180, Valencia, California |
| Authorized Official Name and Position | Tracy Glenda Gorton (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 6619450701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Clarita Children's Dental 1629 W Avenue J Ste 104 Lancaster CA 93534-2850 Ph: (661) 945-0701 | Santa Clarita Children's Dental 27421 Tourney Rd Ste 180 Valencia CA 91355-5646 Ph: (661) 735-1500 |
| NPI Number | 1508372749 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 01/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508372749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DDS100026 (California) | Primary |
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