NPI 1639573199 · live from the CMS NPI Registry
2k Fullerton Dental
Dentist in Fullerton, CA. National Provider Identifier 1639573199, active.
NPI record
| NPI | 1639573199 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1010 E Chapman Ave, Fullerton, CA 92831 |
| Practice phone | 714-526-2828 |
| Enumerated | October 13, 2014 |
| Last updated | October 13, 2014 |
| Authorized official | Kush Patel, Owner |
| Other names | Fullerton Craft Smiles Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 59613 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.