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Kideog Park
General Practice Dentistry in Garden Grove, California
NPI 1861010845

Kideog Park is a General Practice Dentistry based in Garden Grove, CA and is specialized in General Practice. Kideog Park practices in Garden Grove, CA. The NPI Number for Kideog Park is 1861010845 and holds a License No. 102006 (California).

The current practice location address for Kideog Park is 9618 Garden Grove Blvd Ste 208, Garden Grove, CA and can be reached out via phone at 714-537-9380 and via fax at 714-537-2593.

Location: 9618 Garden Grove Blvd Ste 208, Garden Grove, CA, 92844-1566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861010845
Provider Name
Kideog Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
9618 Garden Grove Blvd Ste 208, Garden Grove, CA, 92844-1566
Phone Number
714-537-9380
Fax Number
714-537-2593
Provider Enumeration Date
07/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9618 Garden Grove Blvd Ste 208
City
Garden Grove
State
California
Zip
92844-1566
Phone Number
714-537-9380
Fax Number
714-537-2593
person
Provider Business Mailing Address Details
Address
9618 Garden Grove Blvd Ste 208
City
Garden Grove
State
California
Zip
92844-1566
Phone Number
714-537-9380
Fax Number
714-537-2593
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
102006 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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