Organization
CHILDREN'S DENTAL SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S LEE (DENTAL DIRECTOR)
(714) 432-7337
Entity
Organization
Contact information
Practice address
1610 W EDINGER AVE STE C, SANTA ANA, CA 92704-4339
(714) 432-7337
(714) 432-7050
Mailing address
1610 W EDINGER AVE STE C, SANTA ANA, CA 92704-4339
(714) 432-7337
(714) 432-7050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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