| Eco Dental | |
|
2210 W Commonwealth Ave Fullerton CA 92833-3021 | |
| (714) 879-0142 | |
| Not Available |
| Full Name | Eco Dental |
|---|---|
| Speciality | Dentist |
| Location | 2210 W Commonwealth Ave, Fullerton, California |
| Authorized Official Name and Position | Sung H Lee (OWNER) |
| Authorized Official Contact | 7148790142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eco Dental 2210 W Commonwealth Ave Fullerton CA 92833-3021 Ph: (714) 879-0142 | Eco Dental 2210 W Commonwealth Ave Fullerton CA 92833-3021 Ph: (714) 879-0142 |
| NPI Number | 1942737705 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942737705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57427 (California) | Primary |
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