| Iris Dental | |
|
6965 Broadway Lemon Grove CA 91945-1405 | |
| (480) 735-8839 | |
| Not Available |
| Full Name | Iris Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6965 Broadway, Lemon Grove, California |
| Authorized Official Name and Position | Anh N Tran (PRESIDENT) |
| Authorized Official Contact | 4807358839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Dental 6965 Broadway Lemon Grove CA 91945 Ph: (480) 735-8839 | Iris Dental 6965 Broadway Lemon Grove CA 91945-1405 Ph: (480) 735-8839 |
| NPI Number | 1336406370 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 04/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336406370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 545357557 (California) | Primary |
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