Crystal Smile Dental

LBN: Botros & Nguyen Dental Corp
Crystal Smile Dental is an health care organization with primary practice located at 2502 S Bristol St , Santa Ana CA 92704. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Botros & Nguyen Dental Corp can be contacted via phone (714) 754-1888, or through Botros, Samer F via phone (714) 754-1888.

Contact Information

Primary practice address
2502 S Bristol St Santa Ana CA 92704
Phone: (714) 754-1888
Fax: (714) 754-0888
Website:
Map and Directions
Authorized official contact:
Name: Botros, Samer F
Phone: (714) 754-1888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 45093 California

Profile Details

NPI number 1174685382
LBN Legal business name Botros & Nguyen Dental Corp
DBA Doing business as Crystal Smile Dental
Authorized official Botros, Samer F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174685382 NPPES
California MEDICAID G9398201

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