Organization
SPENCER J TASKER DMD INC
Active
Other names
Little Smiles of OC
Organization subpart
No
Provider details
NPI number
Authorized official
JEN SASO (DIRECTOR OF OPERATIONS)
(916) 479-3432
Entity
Organization
Contact information
Practice address
4840 IRVINE BLVD STE 106, IRVINE, CA 92620-1962
(949) 885-9300
Mailing address
4840 IRVINE BLVD STE 106, IRVINE, CA 92620-1962
(949) 885-9300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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