| Ladera Smile Dentistry | |
|
1701 Corporate Dr Ste C3 Ladera Ranch CA 92694-2126 | |
| (949) 324-4456 | |
| Not Available |
| Full Name | Ladera Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1701 Corporate Dr Ste C3, Ladera Ranch, California |
| Authorized Official Name and Position | Thinh Van Bui (PRESIDETN) |
| Authorized Official Contact | 7142603179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladera Smile Dentistry 31161 Via Consuelo Coto De Caza CA 92679-4017 Ph: (714) 260-3179 | Ladera Smile Dentistry 1701 Corporate Dr Ste C3 Ladera Ranch CA 92694-2126 Ph: (949) 324-4456 |
| NPI Number | 1801387444 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801387444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49729 (California) | Primary |
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