# MY KID'S DENTIST OF LAKE FOREST, PROF. CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Kid's Dentist & Orthodontics of Lake Forest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366355000
- **Authorized official:** GRACE NOH DDS (OWNER)
- **Authorized official phone:** (949) 234-6799

## Contact information

- **Practice address:** 23708 EL TORO RD STE B, LAKE FOREST, CA 92630-8907
- **Practice address phone:** (949) 234-6799
- **Practice address fax:** (949) 238-2620
- **Mailing address:** PO BOX 660041, DALLAS, TX 75266-0041
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (303) 952-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2026
- **Last updated:** 09/24/2026