Organization
HEALTHY SMILES FOR KIDS OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH A BEAR RN, JD (CEO)
(714) 537-0700
Entity
Organization
Contact information
Practice address
10602 CHAPMAN AVE, SUITE 200, GARDEN GROVE, CA 92840-3103
(714) 537-0700
(714) 537-0733
Mailing address
10602 CHAPMAN AVE, SUITE 200, GARDEN GROVE, CA 92840-3103
(714) 537-0700
(714) 537-0733
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
550000106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G94040-01
MEDI-CAL
CA
Enumeration date
05/09/2007
Last updated
12/14/2009
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