| Anaheim Hills Pediatric Dental Practice | |
|
500 S Anaheim Hills Rd Ste 116 Anaheim CA 92807-4762 | |
| (714) 974-8668 | |
| (714) 279-1179 |
| Full Name | Anaheim Hills Pediatric Dental Practice |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 S Anaheim Hills Rd Ste 116, Anaheim, California |
| Authorized Official Name and Position | Eddie N So (PARTNER) |
| Authorized Official Contact | 7149748668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaheim Hills Pediatric Dental Practice 500 S Anaheim Hills Rd Ste 116 Anaheim CA 92807-4762 Ph: (714) 974-8668 | Anaheim Hills Pediatric Dental Practice 500 S Anaheim Hills Rd Ste 116 Anaheim CA 92807-4762 Ph: (714) 974-8668 |
| NPI Number | 1447473129 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447473129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Primary |
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