| Star White Dental Clinic | |
|
2105 San Joaquin Hills Rd Newport Beach CA 92660-6507 | |
| (949) 721-7130 | |
| (949) 721-1709 |
| Full Name | Star White Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2105 San Joaquin Hills Rd, Newport Beach, California |
| Authorized Official Name and Position | Bong Koog Noh (PRESIDENT) |
| Authorized Official Contact | 9497211730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star White Dental Clinic 2105 San Joaquin Hills Rd. Newport Beach CA 92660 Ph: (949) 721-7130 | Star White Dental Clinic 2105 San Joaquin Hills Rd Newport Beach CA 92660-6507 Ph: (949) 721-7130 |
| NPI Number | 1376708610 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376708610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54697 (California) | Primary |
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