NPI 1346720042 · live from the CMS NPI Registry
4 U Dental
Dentist in Garden Grove, CA. National Provider Identifier 1346720042, active.
NPI record
| NPI | 1346720042 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 9363 Garden Grove Blvd #3, Garden Grove, CA 92844 |
| Practice phone | 714-590-2828 |
| Enumerated | August 21, 2018 |
| Last updated | August 21, 2018 |
| Authorized official | Bock Kim, DDS |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.