| Fruitful Smile Family Dental | |
|
7011 Orangethorpe Ave. #100 Buena Park CA 90621 | |
| (714) 994-4482 | |
| (714) 994-3995 |
| Full Name | Fruitful Smile Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7011 Orangethorpe Ave., Buena Park, California |
| Authorized Official Name and Position | Michael Jung-chan Chang (PRESIDENT) |
| Authorized Official Contact | 7149944482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fruitful Smile Family Dental 7011 Orangethorpe Ave. #100 Buena Park CA 90621 Ph: (714) 994-4482 | Fruitful Smile Family Dental 7011 Orangethorpe Ave. #100 Buena Park CA 90621 Ph: (714) 994-4482 |
| NPI Number | 1194921916 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194921916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39244 (California) | Primary |
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