Organization
ANNIE HA DDS INC
Active
Other names
Imperial Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE HA DDS (DENTIST)
(949) 278-3635
Entity
Organization
Contact information
Practice address
17401 BASTANCHURY RD STE 103, YORBA LINDA, CA 92886-1320
(714) 524-3368
Mailing address
17401 BASTANCHURY RD STE 103, YORBA LINDA, CA 92886-1320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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