| Smiledaydental | |
|
12872 Harbor Blvd Garden Grove CA 92840-5807 | |
| (714) 638-8273 | |
| (714) 699-2586 |
| Full Name | Smiledaydental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12872 Harbor Blvd, Garden Grove, California |
| Authorized Official Name and Position | Thanh M Le (DENTIST) |
| Authorized Official Contact | 4085061590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiledaydental 12872 Harbor Blvd Garden Grove CA 92840-5807 Ph: (714) 638-8273 | Smiledaydental 12872 Harbor Blvd Garden Grove CA 92840-5807 Ph: (714) 638-8273 |
| NPI Number | 1023426657 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023426657 | NPI | - | NPPES |
| 1023426657 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52882 (California) | Primary |
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