| Beautiful Smile Dental Care | |
|
4600 Beach Blvd Buena Park CA 90621-1132 | |
| (714) 522-5565 | |
| (714) 522-5758 |
| Full Name | Beautiful Smile Dental Care |
|---|---|
| Speciality | Clinic/center |
| Location | 4600 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Insoo Kim (PRESIDNT) |
| Authorized Official Contact | 7145225565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Smile Dental Care 4600 Beach Blvd Buena Park CA 90621-1132 Ph: (714) 522-5565 | Beautiful Smile Dental Care 4600 Beach Blvd Buena Park CA 90621-1132 Ph: (714) 522-5565 |
| NPI Number | 1457891327 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457891327 | NPI | - | NPPES |
| 1104094580 | Other | CA | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 30377 (California) | Primary |
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