Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kideog Park

Individual provider General Practice Dentistry · NPI 1861010845

Kideog Park is a General Practice Dentistry in Garden Grove, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

9618 Garden Grove Blvd Ste 208
Garden Grove, CA 92844-1566
Phone: (714) 537-9380
Fax: (714) 537-2593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 102006 (CA)

Record details

NPI number1861010845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

Other providers in Garden Grove