| Brea Ranch Dentistry | |
|
936 E Imperial Hwy Brea CA 92821-5612 | |
| (714) 990-4911 | |
| (714) 990-5883 |
| Full Name | Brea Ranch Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 936 E Imperial Hwy, Brea, California |
| Authorized Official Name and Position | Karen Koo (PRESIDENT) |
| Authorized Official Contact | 7149904911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brea Ranch Dentistry 936 E Imperial Hwy Brea CA 92821-5612 Ph: (714) 990-4911 | Brea Ranch Dentistry 936 E Imperial Hwy Brea CA 92821-5612 Ph: (714) 990-4911 |
| NPI Number | 1083056204 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083056204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 52071 (California) | Primary |
Steven M Richardson, DDS APC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 S Flower Ave, Brea, CA 92821 Phone: 714-990-3672 |
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Imperial Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Imperial Hwy, Brea, CA 92821 Phone: 714-671-9999 Fax: 714-671-0597 |