| Smile Gallery Dental | |
|
1107 E Lincoln Ave Suite #201 Orange CA 92865 | |
| (714) 998-2241 | |
| (714) 998-8124 |
| Full Name | Smile Gallery Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1107 E Lincoln Ave, Orange, California |
| Authorized Official Name and Position | David M Datu (DR DATU PRES OWNER) |
| Authorized Official Contact | 7149982241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Gallery Dental 1107 E Lincoln Ave Suite #201 Orange CA 92865 Ph: (714) 998-2241 | Smile Gallery Dental 1107 E Lincoln Ave Suite #201 Orange CA 92865 Ph: (714) 998-2241 |
| NPI Number | 1013118488 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013118488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40568 (California) | Primary |
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