Provider Demographics
NPI:1457806788
Name:4UDENTAL GROUP PARTNERS
Entity Type:Organization
Organization Name:4UDENTAL GROUP PARTNERS
Other - Org Name:4UDENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KOO
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-590-2828
Mailing Address - Street 1:9636 GARDEN GROVE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1590
Mailing Address - Country:US
Mailing Address - Phone:714-590-2828
Mailing Address - Fax:714-590-2846
Practice Address - Street 1:9636 GARDEN GROVE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1590
Practice Address - Country:US
Practice Address - Phone:714-590-2828
Practice Address - Fax:714-590-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty