| Socal Dental | |
|
12901 Harbor Blvd Ste. A-3 Garden Grove CA 92840-5830 | |
| (714) 638-7554 | |
| (714) 638-8322 |
| Full Name | Socal Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12901 Harbor Blvd, Garden Grove, California |
| Authorized Official Name and Position | John S Lin (PRESIDENT/CEO) |
| Authorized Official Contact | 7146387554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Dental 12901 Harbor Blvd Ste. A-3 Garden Grove CA 92840-5830 Ph: (714) 638-7554 | Socal Dental 12901 Harbor Blvd Ste. A-3 Garden Grove CA 92840-5830 Ph: (714) 638-7554 |
| NPI Number | 1750498606 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750498606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44011 (California) | Primary |
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