Organization
NORTH ORANGE COUNTY DENTAL SPECIALTY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERLENE TING (ADMINISTRATOR)
(626) 375-0656
Entity
Organization
Contact information
Practice address
1480 S HARBOR BLVD STE 5, LA HABRA, CA 90631-7564
(714) 870-5200
Mailing address
1245 W HUNTINGTON DR STE 103, ARCADIA, CA 91007-6384
(626) 375-0656
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52741
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
50018
CA
1223P0300X
Periodontics
51138
CA
Other
Enumeration date
05/23/2018
Last updated
05/31/2024
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