Fullerton Dental Group | |
1573 S Harbor Blvd Fullerton CA 92832-3402 | |
(714) 441-0131 | |
(714) 441-0141 |
Full Name | Fullerton Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 1573 S Harbor Blvd, Fullerton, California |
Authorized Official Name and Position | Peter H Pham (OWNER) |
Authorized Official Contact | 7144410131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fullerton Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Fullerton Dental Group 1573 S Harbor Blvd Fullerton CA 92832-3402 Ph: (714) 441-0131 |
NPI Number | 1114364395 |
---|---|
Provider Enumeration Date | 05/29/2013 |
Last Update Date | 05/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114364395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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