| Childrens Dental Care Center | |
|
2219 S Hacienda Blvd 100 Hacienda Heights CA 91745 | |
| (626) 369-1177 | |
| (626) 369-1186 |
| Full Name | Childrens Dental Care Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2219 S Hacienda Blvd, Hacienda Heights, California |
| Authorized Official Name and Position | Chen Der J Chiang (OFFICE OWNER PEDIATRIC DENTIST) |
| Authorized Official Contact | 6263691177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Care Center 2219 S Hacienda Blvd 100 Hacienda Heights CA 91745 Ph: (626) 369-1177 | Childrens Dental Care Center 2219 S Hacienda Blvd 100 Hacienda Heights CA 91745 Ph: (626) 369-1177 |
| NPI Number | 1205021664 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205021664 | NPI | - | NPPES |
| B3866001 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | B38660 (California) | Primary |
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