Organization · NPI-2

Anaheim Orthodontics And Family Dentistry

Dentist, Orthodontics and Dentofacial Orthopedics · Anaheim, CA

NPI number1942955224
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1942955224
Entity type
Organization (NPI-2)
Legal business name
Anaheim Orthodontics And Family Dentistry
Organization subpart
Yes
Enumeration date
Feb 15, 2022
Certification date
Feb 15, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes
1223G0001X Dentist, General Practice––

Practice location

1761 W Romneya Dr Ste G
Anaheim, CA 92801-1816

Phone 714-999-8612

Mailing address

8163 E Wardlow Rd
Long Beach, CA 90808-3204

Phone 562-430-8887

Authorized official

Lillian Ho
Ce0
7148099715

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