| California Dental Group Of Anaheim Hills | |
|
140 S Fairmont Blvd Anaheim CA 92808-1336 | |
| (714) 974-0054 | |
| Not Available |
| Full Name | California Dental Group Of Anaheim Hills |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 S Fairmont Blvd, Anaheim, California |
| Authorized Official Name and Position | Jason H Morgan (OWNER CEO) |
| Authorized Official Contact | 2082290403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Dental Group Of Anaheim Hills 1803 Ellis Ave Caldwell ID 83605-4810 Ph: (208) 229-0403 | California Dental Group Of Anaheim Hills 140 S Fairmont Blvd Anaheim CA 92808-1336 Ph: (714) 974-0054 |
| NPI Number | 1053807438 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053807438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DDS50648 (California) | Primary |
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