| Garden Family Dental Group | |
|
9800 Garden Grove Blvd Garden Grove CA 92844-1617 | |
| (714) 638-9370 | |
| Not Available |
| Full Name | Garden Family Dental Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 9800 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Yoonjung Hong (PRESIDENT) |
| Authorized Official Contact | 4153148553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Family Dental Group 9800 Garden Grove Blvd Garden Grove CA 92844-1617 Ph: () - | Garden Family Dental Group 9800 Garden Grove Blvd Garden Grove CA 92844-1617 Ph: (714) 638-9370 |
| NPI Number | 1568064954 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 5890196604 |
|---|---|
| Medicare Enrollment ID | O20210630003928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568064954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Yoonjung Hong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1104322288 PECOS PAC ID: 5890196695 Enrollment ID: I20210630003909 |
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