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Organization
GRACE DENTAL IMAGE CENTER
Active
Organization
GRACE DENTAL IMAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELENA LEE (OFFICE MANAGER)
(714) 871-4962
Entity
Organization
Contact information
Practice address
1210 S EUCLID ST, LA HABRA, CA 90631-7306
(714) 871-4962
Mailing address
1210 S EUCLID ST, LA HABRA, CA 90631-7306
(714) 871-4962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37587
CA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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