KIDEOG PARK

General Practice Dentistry

NPI: 1861010845Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

102006(CA)

Contact & Hours

Address: 9618 GARDEN GROVE BLVD STE 208
GARDEN GROVE, CA 92844
Phone: (714) 537-9380

Quick Facts

NPI: 1861010845
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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