| Smile Of Hope Dental Hygiene Practice Of Esther Kim Le, Rdhap | |
|
15251 Kensington Park Dr Tustin CA 92782-1807 | |
| (714) 260-2259 | |
| Not Available |
| Full Name | Smile Of Hope Dental Hygiene Practice Of Esther Kim Le, Rdhap |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15251 Kensington Park Dr, Tustin, California |
| Authorized Official Name and Position | Esther Kim Le (CEO) |
| Authorized Official Contact | 7142602259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Of Hope Dental Hygiene Practice Of Esther Kim Le, Rdhap Po Box 4772 Garden Grove CA 92842-4772 Ph: (714) 260-2259 | Smile Of Hope Dental Hygiene Practice Of Esther Kim Le, Rdhap 15251 Kensington Park Dr Tustin CA 92782-1807 Ph: (714) 260-2259 |
| NPI Number | 1972030518 |
|---|---|
| Provider Enumeration Date | 05/14/2017 |
| Last Update Date | 05/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972030518 | NPI | - | NPPES |
| 1467721357 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 616 (California) | Primary |
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