| Spring Dental Group | |
|
5963 E Spring St Long Beach CA 90808-3752 | |
| (562) 421-8401 | |
| (562) 421-0523 |
| Full Name | Spring Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5963 E Spring St, Long Beach, California |
| Authorized Official Name and Position | Stephen W Clark (PRESIDENT) |
| Authorized Official Contact | 5624218401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Dental Group 5963 E Spring St Long Beach CA 90808-3752 Ph: (562) 421-8401 | Spring Dental Group 5963 E Spring St Long Beach CA 90808-3752 Ph: (562) 421-8401 |
| NPI Number | 1316301500 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316301500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (California) | Secondary |
| 1223G0001X | Dentist - General Practice | (California) | Primary |
| 1223P0300X | Dentist - Periodontics | (California) | Secondary |
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