Kideog Park is a Garden Grove, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kideog Park is 102006 for General Practice Dentistry in California. His current practice location is 9618 Garden Grove Blvd Ste 208, Garden Grove. Patients can reach him at 714-537-9380.
Kideog Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kideog Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kideog Park
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
9618 Garden Grove Blvd Ste 208, Garden Grove, California, 92844-1566
Phone:
714-537-9380
Fax:
714-537-2593
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861010845
NPI Enumeration Date:
07 Jul, 2020
NPI Last Update On:
07 Jul, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kideog Park are as mentioned below.
License Number
Specialization
State
Status
102006
General Practice Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9618 Garden Grove Blvd Ste 208, Garden Grove, California
Zip:
92844-1566
Phone Number:
714-537-9380
Fax Number:
714-537-2593
Patients can reach Kideog Park at 9618 Garden Grove Blvd Ste 208, Garden Grove, California or can call to book an appointment on 714-537-9380. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.