Organization
ORANGE PARK SMILES STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILE N LICAUCO DDS (OWNER/ DENTIST)
(714) 984-2050
Entity
Organization
Contact information
Practice address
8418 E CHAPMAN AVE, ORANGE, CA 92869-2459
(714) 984-2050
(714) 984-2052
Mailing address
8418 E CHAPMAN AVE, ORANGE, CA 92869-2459
(714) 984-2050
(714) 984-2052
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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