| Oc Graceful Smiles | |
|
17502 Irvine Blvd Ste B Tustin CA 92780-3127 | |
| (646) 306-6453 | |
| Not Available |
| Full Name | Oc Graceful Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17502 Irvine Blvd Ste B, Tustin, California |
| Authorized Official Name and Position | Mili R Patel (OWNER DENTIST) |
| Authorized Official Contact | 6463066453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Graceful Smiles 27 Habitat Irvine CA 92618-8819 Ph: (646) 306-6453 | Oc Graceful Smiles 17502 Irvine Blvd Ste B Tustin CA 92780-3127 Ph: (646) 306-6453 |
| NPI Number | 1235846379 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 10/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235846379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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