Hideki Ikeda D.d.s., M.s., Dental Corporation | |
12777 Valley View St.. Suite 222 Garden Grove CA 92845 | |
(714) 893-7539 | |
(714) 893-6736 |
Full Name | Hideki Ikeda D.d.s., M.s., Dental Corporation |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 12777 Valley View St.., Garden Grove, California |
Authorized Official Name and Position | Hideki Ikeda (DENTIST) |
Authorized Official Contact | 7148937539 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hideki Ikeda D.d.s., M.s., Dental Corporation 12777 Valley View St.. Suite 222 Garden Grove CA 92845 Ph: (714) 893-7539 | Hideki Ikeda D.d.s., M.s., Dental Corporation 12777 Valley View St.. Suite 222 Garden Grove CA 92845 Ph: (714) 893-7539 |
NPI Number | 1205114501 |
---|---|
Provider Enumeration Date | 08/03/2011 |
Last Update Date | 08/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205114501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 58404 (California) | Primary |
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