NPI | 1053404244 |
---|---|
Doing Business As | ANAHEIM HILLS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CHARLES F RODGERS Owner Dds 714-998-2956 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35324) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 43860) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 22629) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 46427) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |