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(1)

Directory of

Participating Dentists

United Transportation Union Plan

0819G021

© 201

9

Dental Health Services

September 2020

(2)

TABLE OF CONTENTS

Alameda...1

Amador...1

Butte...1

Calaveras...2

Contra Costa...2

El Dorado...2

Fresno...2

Imperial...3

Kern...3

Kings...5

Los Angeles...6

Madera...24

Mariposa...24

Merced...24

Monterey...24

Napa...24

Orange...24

Placer...31

Riverside...32

Sacramento...37

San Bernardino...39

San Diego...43

San Francisco...47

San Joaquin...47

San Mateo...48

Santa Barbara...48

Santa Clara...49

Santa Cruz...49

Shasta...49

Solano...50

Sonoma...50

Stanislaus...50

Sutter...51

Tulare...51

Tuolumne...51

Ventura...52

Mexico...53

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Welcome to

Dental Health Services

We are glad to have you as a valued member of our

special dental care organization� You are important

to us and so is your healthy smile� We want to keep

you smiling by helping you protect your teeth, saving

you time and money� As a member of Dental Health

Services, you and your family are entitled to some

important and valuable benefits.

How to use your plan

Dental Health Services offers you a prepaid, direct

service dental care program� Your specialized dental

plan has been designed to provide the maximum

benefits at a low cost to you and your family.

Convenience of location, availability of services and

a minimum of paperwork make it easy to receive

quality dental care. For more specifics on how to use

your dental plan, take some time to review the booklet

entitled “UTU Dental Plan: Combined Evidence of

Coverage & Disclosure�”

Selecting your dentist

You may choose to receive care from any dental office

listed in this directory� All dental care is received from

the dentist you select, except in the case of an

out-of-area emergency, or if you are referred to a specialist�

Changing your dentist

You can change dentists simply by contacting the

Administrative Office of the Trust Fund at either

213

.

624

.

6487 or 626

.

962

.

1762� Requests received by

the 10th of the current month will be effective for

the new office on the 1st of the next month. Changes

made after the 10th of the month will be effective on

the 1st of the month after next�

(4)

Language choices

Many of our dental offices have doctors and office

staff who speak other languages in addition to English�

The languages spoken at a particular office are noted at

the end of each listing in the directory�

AM ARMENIAN

AR ARABIC

CH CHINESE

DE GERMAN

EN ENGLISH

ES

ESTONIAN

FA FARSI

FR FRENCH

GK GREEK

GR GERMAN

HE HEBREW

HI HINDI

HN HINDI

ID INDONESIAN

IT ITALIAN

JP JAPANESE

KR KOREAN

MN MANDARIN

PA PANJABI

PL POLISH

PT PORTUGUESE

RM ROMANIAN

RU RUSSIAN

SP SPANISH

TG TAGALOG

TH THAI

TK TURKISH

UR URDU

VI VIETNAMESE

VT VIETNAMESE

(5)

English

IMPORTANT:

If English is your secondary

language, you may obtain this information written

in your language.

For free help, please call

866

.

756

.

4259� Dental Health Services has a toll

free TTY

line 711

for the hearing and

speech

impaired�

Spanish

IMPORTANTE: ¿Pueden leer esto? Si no, alguien

le puede ayudar a leerlo� Además, es posible que

re-ciba esta información escrita en su propio idioma�

Para obtener ayuda gratuita, llame ahora mismo al

866

.

756

.

4259� Dental Health Services también

tiene una línea TTY

7 1 1

para personas

con

dificultades de audición o de habla

.

UTU-MTA Health & Insurance

Benefit Trust Fund

15999 Cypress Avenue

Irwindale, CA 91706

213

.

624

.

6487

626

.

962

.

1762

www�utu-mtatrustfund�com

Dental Health Services

3

7

8

0 Kilroy Airport Way, Suite 750

Long Beach, CA 9080

6

dentalhealthservices�com

UTU Member Hotline - Member Services

866-644-5444

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ALAMEDA Berkeley Western Dental Services, Inc. Provider ID: CA4513 115 Berkeley Sq Berkeley, CA 94704 510-540-8400

Fremont Western Dental Provider ID: CA5031 36416 Fremont Blvd. Fremont, CA 94536 510-739-3889

Western Dental Services, Inc. Provider ID: CA4519 3055 Mowry Ave Fremont, CA 94536 033bfm-om@westerndental.com 510-494-9000

Hayward Western Dental Services, Inc. Provider ID: CA4521 123 W Jackson St Hayward, CA 94544 102hw@westerndental.com 510-887-5700

Golden State Smiles Provider ID: CA5096 22421 Hesperian Blvd. HAYWARD, CA 94541 cmarvin@rockville-smiles.com 510-782-4161

LIVERMORE Western Dental Services, Inc. Provider ID: CA4621 2177 LAS POSITAS CT LIVERMORE, CA 94551 925-273-6000

Oakland East Bay Family Dentistry Provider ID: CA4851 3040 E 9th St Ste D Oakland, CA 94601 510-534-0706

Elegant Smile Dental Center Provider ID: CA4850 3301 E 12th St Ste 165 Oakland, CA 94601 elegantsmiles3301@gmail.com 510-533-5500

Western Dental Services, Inc. Provider ID: CA4860 3405 International Blvd Oakland, CA 94601 819woi_om@westerndental.com 510-469-2012

Western Dental Services, Inc. Provider ID: CA4530 1530 Broadway Oakland, CA 94612

049bok_om@westerndental.com 510-251-1000

San Leandro Western Dental Services, Inc. Provider ID: CA4548 14895 E 14th Street Ste 100

San Leandro, CA 94578 510-618-1230 Golden State Smiles Provider ID: CA5097 15301 Washington Ave. SAN LEANDRO, CA 94579 cmarvin@rockville-smiles.com 510-351-6820

AMADOR Jackson MACT Health Board, Inc. Provider ID: CA4908 12150 New York Ranch Jackson, CA 95642 compliance@macthealth.org 209-257-2460

BUTTE Chico Western Dental Services, Inc. Provider ID: CA4515 2471 Cohasset Rd Ste 170 Chico, CA 95926 530-894-9040

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CALAVERAS San Andreas MACT Health Board, Inc Provider ID: CA4953 1113A Hwy 49 San Andreas, CA 95249 compliance@macthealth.org 209-755-1460

CONTRA COSTA Antioch Western Dental Services, Inc. Provider ID: CA4512 2590 Sycamore Dr Antioch, CA 94509 151ban@westerndental.com 925-776-1140

Western Dental Services, Inc. Provider ID: CA4617 4518 Lone Tree Way Antioch, CA 94531

805wbw_om@westerndental.com 925-529-8301

Concord Western Dental Services, Inc. Provider ID: CA4516 1821 Concord Ave Concord, CA 94520 119wcc@westerndental.com 925-825-8900

Golden State Smiles Provider ID: CA5091 1851 Sutter Street Ste A CONCORD, CA 94520 forms@goldenstatesmiles.com 925-827-2798

El Cerrito Western Dental Services, Inc. Provider ID: CA4517 11299 San Pablo Ave Ste A El Cerrito, CA 94530 187weo@westerndental.com 510-231-0147

Pittsburg Western Dental Services, Inc. Provider ID: CA4531 2120 Railroad Ave Ste 105 Pittsburg, CA 94565 925-439-4774

SAN RAMON S Jang DDS Inc Provider ID: CA5104 9130 Alcosta Blvd Suite A2 SAN RAMON, CA 94583 info@smiletimedental.com 925-218-2323

Walnut Creek Mikhail Berdichevsky, DDS Provider ID: CA3201 120 La Casa Via Ste 105 Walnut Creek, CA 94598 dentalofficewc@gmail.com 925-933-9820

EL DORADO El Dorado Hills Smile Time Dental Provider ID: CA5081

3840 El Dorado Hills Blvd, Ste 203 B El Dorado Hills, CA 95762 info@smiletimedental.com 916-984-4224

FRESNO Clovis Western Dental Services, Inc. Provider ID: CA4591 751 W Shaw Ave Clovis, CA 93612 jose@stmarydental.com 559-323-5500 Golden State Smiles Provider ID: CA5090 1010 Shaw Ave Suite B CLOVIS, CA 93612 forms@vallesmiles.com 559-323-1776

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Fresno Dr. Sam's Dental Office Provider ID: CA3271 1902 E Ashlan Ave Fresno, CA 93726 samsdentaloffice@gmail.com 559-228-3000

Geny Chan, DDS Inc. Provider ID: CA4849 3636 N 1st St Ste 126 Fresno, CA 93726 gipkine@yahoo.com 559-243-1115 Omni Family Health Provider ID: CA5145 4646 N 1st St. FRESNO, CA 93726 800-300-6664

Western Dental Services, Inc. Provider ID: CA4598 4901 E Kings Canyon Rd Fresno, CA 93727 559-456-1600

Western Dental Services, Inc. Provider ID: CA4575 3077 W Shaw Ave Fresno, CA 93711 150bfo@westerndental.com 559-244-5501

Western Dental Services, Inc. Provider ID: CA4572 4195 E Shields Ave Fresno, CA 93726 160besa@westerndental.com 559-243-8960

Western Dental Services, Inc. Provider ID: CA4576 1255 W Shields Ave Fresno, CA 93705 559-227-4000

Golden State Smiles Provider ID: CA5095 2745 W Shaw Ave. Ste 103 FRESNO, CA 93711 cmarvin@rockville-smiles.com 559-295-2113

REEDLEY Omni Family Health Provider ID: CA5143 1530 Manning Ave. REEDLEY, CA 93654 800-300-6664

IMPERIAL EL CENTRO Hamlet Khachatryan DDS Inc Provider ID: CA5130 1698 Cruickshank Dr Suite B EL CENTRO, CA 92243 admin@idsdentistry.com 760-970-8754

Pranab K. Dutt, DDS A.P.C Provider ID: CA4807 1540 S Imperial Ave El Centro, CA 92243 pkdfamilydental@gmail.com 760-352-2773

Western Dental Services, Inc. Provider ID: CA4466 1450 Imperial Avenue El Centro, CA 92243 172wel@westerndental.com 760-370-3950

KERN Bakersfield Home Care Dental Provider ID: CA4014 5917 Niles St Ste 3 Bakersfield, CA 93306 homecaredentaloffice@yahoo.com 661-366-6527

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Millennium Dental Center Provider ID: CA4721 1830 28th St Bakersfield, CA 93301 mdcpatients@gmail.com 661-326-8536 Omni Family Health Provider ID: CA2928 525 Roberts Ln Bakersfield, CA 93308 tbrown@omnifamilyhealth.org 661-215-2342

Omni Family Health Provider ID: CA4933 4151 Mexicali Dr Bakersfield, CA 93313 661-529-5291 Omni Family Health Provider ID: CA5106 1014 Calloway Dr BAKERSFIELD, CA 93312 661-377-0439 Omni Family Health Provider ID: CA5107 4600 Panama Lane 102B BAKERSFIELD, CA 93313 800-300-6664 Omni Family Health Provider ID: CA5139 4131 Ming Ave. BAKERSFIELD, CA 93309 800-300-6664 Omni Family Health Provider ID: CA5140 1701 Stine Road BAKERSFIELD, CA 93309 800-300-6664 Omni Family Health Provider ID: CA5141 4900 California Ave. Suite 100B

BAKERSFIELD, CA 93309 800-300-6664

Omni Family Health Provider ID: CA5138 2811 H Street BAKERSFIELD, CA 93301 800-300-6664

Western Dental Services, Inc. Provider ID: CA4467 4401 Ming Ave Bakersfield, CA 93309 661-397-7400

WESTERN DENTAL SERVICES, INC Provider ID: CA4468

1201 24th Street Ste A Bakersfield, CA 93301 661-431-1120 Gentle Dental Daly City Provider ID: CA5158 9600 Rosedale Hwy Ste A Bakersfield, CA 93312 ortizh@interdent.com 661-589-5248 Gentle Dental Daly City Provider ID: CA5157 8200 Stockdale Hwy Ste M9 Bakersfield, CA 93311 661-834-9042 Gentle Dental Daly City Provider ID: CA5163 3150 Panama Ln Ste 1 Bakersfield, CA 93313 wilsonc@interdent.com 661-396-0156 Gentle Dental Daly City Provider ID: CA5159 3400 Wible Rd Bakersfield, CA 93309 fuentesr@interdent.com 661-835-8672

Buttonwillow Omni Family Health Provider ID: CA2746 277 E Front Street Buttonwillow, CA 93206 tbrown@omnifamilyhealth.org 661-630-7380

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Delano Omni Family Health Provider ID: CA2749 1215 Jefferson St Delano, CA 93215 tbrown@omnifamilyhealth.org 661-772-5300

Omni Family Health Provider ID: CA5142 912 Fremont St. DELANO, CA 93215 800-300-6664

Western Dental Services, Inc. Provider ID: CA4734 730 Woollomes Ave Ste 101 & 102 Delano, CA 93215

812wdn@westerndental.com 661-370-4385

Lost Hills Omni Family Health Provider ID: CA2748 21138 Paso Robles Hwy Lost Hills, CA 93249 jsmith@omnifamilyhealth.org 661-459-1900

Ridgecrest Omni Family Health Provider ID: CA5105 1133 Chelsea Street Ridgecrest, CA 93555 contract@omnifamilyhealth.org 760-446-7978

Shafter Omni Family Health Provider ID: CA2751 655 S Central Valley Hwy Shafter, CA 93263 tbrown@omnifamilyhealth.org 661-459-1919

Taft Omni Family Health Provider ID: CA2747 1100 4th St Taft, CA 93268

contact@omnifamilyhealth.org 661-765-5044

Tehachapi Omni Family Health Provider ID: CA4956 161 N Mill St Tehachapi, CA 93561 contact@omnifamilyhealth.org 661-822-9054

Gentle Dental Daly City Provider ID: CA5156 20300 W Valley Blvd Ste A Tehachapi, CA 93561 661-822-1134

Wasco Omni Family Health Provider ID: CA2750 2101 7th St Wasco, CA 93280 abiaoui@omnifamilyhealth.org 661-758-5903

KINGS Hanford Western Dental Services, Inc. Provider ID: CA4596 210 N 11th Ave Ste 101 Hanford, CA 93230

145whn_om@westerndental.com 559-585-2171

Western Dental Services, Inc. Provider ID: CA4594 1560 Lacey Blvd Ste 107 Hanford, CA 93230

180whf/office/wds@westerndental.com 559-589-6301

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LOS ANGELES AGOURA HILLS Dr. Zak Sea Breeze Dental Care Provider ID: CA5002 5029 Kanan Road AGOURA HILLS, CA 91301 agoura@zakdental.com 818-991-9852

Alhambra Alhambra Garfield Dental Provider ID: CA2405 747 S Garfield Ave Alhambra, CA 91801 alhambradental@hotmail.com 626-289-6815

ARCADIA AD Dental Corp Provider ID: CA5109 111 E Live Oak Avenue ARCADIA, CA 91006

info.arcadiadentalgroup@gmail.com 626-445-1181

*PCP assignment limitations Dental Group Of Arcadia Provider ID: CA2597 440 E Huntington Dr Ste 101 Arcadia, CA 91006 info@westcoastdental.com 626-447-5126

Arleta Osborne Dental Office, Inc. Provider ID: CA2418 13205 Osborne St Ste F Arleta, CA 91331 818-890-2426

*PCP assignment limitations Pacoima Family Dental Center Provider ID: CA4064 9722 Laurel Canyon Blvd Arleta, CA 91331 pacoimadental@gmail.com 818-897-1234

Azusa Apple Dental Provider ID: CA2654 891 E Arrow Hwy Ste B Azusa, CA 91702 626-332-4788

Hesam Shahoveisi DMD INC Provider ID: CA5147 483 S Citrus Avenue AZUSA, CA 91702

citydentalcentersazusa@yahoo.com 626-966-3400

St. John Dental Provider ID: CA4954 910 E Gladstone St Azusa, CA 91702 hana@stjohndentalazusa.com 626-332-3000

Baldwin Park Total Care Dental and Ortho Provider ID: CA4443

3060 Baldwin Park Blvd Ste. D-100 Baldwin Park, CA 91706 tcdbd@totalcaredentalgroup.com 626-813-4488

West Coast Dental Group Provider ID: CA4685 4000 La Rica Ave Ste D Baldwin Park, CA 91706 bwp@westcoastdental.com 626-430-9171

Bell A Dental Corp. Provider ID: CA2916 6334 Atlantic Ave Bell, CA 90201 kamran_hakim@yahoo.com 323-560-3646

Gage Dental Care Provider ID: CA4211 4327 Gage Ave Bell, CA 90201

gagedentalcare@yahoo.com 323-773-5029

6

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Bell Gardens A Dental Corp.

Provider ID: CA2409 6815 Eastern Ave Ste A Bell Gardens, CA 90201 kamran_hakim@yahoo.com 323-560-2595

Bellflower Rosecrans Dental Group Provider ID: CA4412 9222 Rosecrans Ave Bellflower, CA 90706

maryrosecransdentalgroup@yahoo.com 562-272-0222

Western Dental Services, Inc. Provider ID: CA4485 9755 Alondra Blvd Bellflower, CA 90706 040bbf_om@westerndental.com 562-925-4022

Burbank Western Dental Services, Inc. Provider ID: CA4568 1107 N San Fernando Blvd Burbank, CA 91504

116bbk_om@westerndental.com 818-295-2565

Canoga Park Cosmeticare

Provider ID: CA4230 21123 Victory Blvd Canoga Park, CA 91303 818mydentist@gmail.com 818-888-2700 Kishore Shah, DDS Provider ID: CA2407 21001 Sherman Way Ste 13 Canoga Park, CA 91303 latindentalcenter@gmail.com 818-346-7032

Omega Dental Group Provider ID: CA4200 21712 Sherman Way Canoga Park, CA 91303 budmd@inbox.com 818-883-6634

Canyon Country Canyon Country Family Dent. Provider ID: CA512 18507 Soledad Canyon Rd Canyon Country, CA 91351 ccfdental@gmail.com 661-252-0020

*PCP assignment limitations Smiles Dental Group Provider ID: CA4623 18520 Soledad Canyon Rd Ste G Canyon Country, CA 91351 smilesdentalgroup@att.net 661-252-2800

Carson A Plus Dentistry Provider ID: CA4948 441 E Carson St Suite N Carson, CA 90745 info@aplusdentistryla.com 310-835-4021

Smile Saver Dental Group Provider ID: CA5015 550 E Del Amo Blvd CARSON, CA 90746 smilesaverdelamo@gmail.com 310-515-5672

Villacis Dental Corp. Provider ID: CA4055 520 E Carson Plaza Court Ste 101 Carson, CA 90746

villacis.dental@yahoo.com 310-313-5150

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Cerritos Bloomfield Dental Center Provider ID: CA2421 12657 166th St Cerritos, CA 90703

front.bloomfielddentalcenter@gmail.com 562-926-6502

Chatsworth Devonshire Plaza Dental Group Provider ID: CA654 10230 Canoga Ave Chatsworth, CA 91311 kashfianddsinc@gmail.com 818-341-8400

Future Dental Care Provider ID: CA4173 10242 Canoga Ave Chatsworth, CA 91311 818mydentist@gmail.com 818-882-5252

CITY INDUSTRY Manavi Family Dentistry Inc Provider ID: CA5086 161 South Hacienda Blvd CITY INDUSTRY, CA 91745 arash@tlcdentistry.us 626-968-9601

Claremont Claremont Design Dentistry Provider ID: CA4906 1601 Monte Vista Ave Ste 210 Claremont, CA 91711

claremontdesigndentistry@gmail.com 909-554-2188

Western Dental Services, Inc. Provider ID: CA4484 740 S Indian Hill Blvd Ste B Claremont, CA 91711 042bct@westerndental.com 909-625-1446

Commerce Sunshine Dental Group Provider ID: CA4861 2319 S Atlantic Blvd Commerce, CA 90040 sunshinedental2319@att.net 323-266-2120

Compton Smiles West

Provider ID: CA5088 2001 East Compton Blvd Compton, CA 90221 bcollins@desertdental.org 310-639-7970

Western Dental Services, Inc. Provider ID: CA4474 1821 N Long Beach Blvd Compton, CA 90221 024bcm@westerndental.com 310-639-4300

Covina Covina Dental Arts and Ortho. Provider ID: CA4453 558 W Badillo St Covina, CA 91722 cdaandortho@gmail.com 626-331-0506 Ahmed Saeed, DDS Inc. Provider ID: CA4892 661 South Second Ave Covina, CA 91723 asaeeddds1@gmail.com 626-966-3571

College St. Family Dentistry Provider ID: CA4278 153 W College St Covina, CA 91723

management@collegestreetfamilydental.com 626-339-9085

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Smiles West of Covina Provider ID: CA4919 470 W Badillo St Covina, CA 91723 daisy@smileswest.com 626-331-3354 Dental Group of Covina Provider ID: CA2567 1406 N Azusa Ave Ste C Covina, CA 91722 cov@westcoastdental.com 626-858-9940 Wong Dental Corporation Provider ID: CA4957 626 S 2nd Ave Covina, CA 91723 linwongdmd@gmail.com 626-332-0013

Culver City Dental Center

Provider ID: CA4625 5903 Sepulveda Blvd Ste B Culver City, CA 90230 rad5903@gmail.com 310-390-3565 SmileMax Dental Center Provider ID: CA5114 10814 Jefferson Blvd Suite G CULVER CITY, CA 90230 smilemaxdental@gmail.com 310-204-0440

Downey All Kids Dental Care Provider ID: CA5027 9474 Firestone Blvd Downey, CA 90241 kidsdental.harsh@gmail.com 562-803-4224

Dr. Zak Downey Dental Care Provider ID: CA5008

10501 Lakewood Blvd Suite A and B Downey, CA 90241

downey@zadental.com 562-862-2341

Downey Dental center Provider ID: CA4938 8515 Florence Ave Ste 200 Downey, CA 90240 562-869-4532

Western Dental Services, Inc. Provider ID: CA4486 9906 Imperial Hwy Downey, CA 90242 089bdw@westerndental.com 562-803-9600

Ying Wu, DDS Provider ID: CA2846 12651 Lakewood Blvd Ste 101 Downey, CA 90242 ywdental@live.com 562-904-1150

El Monte Anthony S. Pan, DMD Provider ID: CA4726 9328 Garvey Ave Ste A El Monte, CA 91733 freshdental1@yahoo.com 626-350-0588 Comfort Dental Group Provider ID: CA4716 10012 Garvey Ave Ste 11 El Monte, CA 91733 626-433-1300 Lower Azusa Dental Provider ID: CA2400

10755 Lower Azusa Rd Ste B and C El Monte, CA 91731

lowerazusadental@gmail.com 626-448-2040

Select Dental Practice Provider ID: CA4295 3116 Peck Rd El Monte, CA 91731 selectdental@sbcglobal.net 626-454-2444

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Sunshine Dental Group Provider ID: CA4856 4161 Tyler Ave El Monte, CA 91731 sunshinedental2319@att.net 626-579-4274

Encino Dan Rosen, DDS Provider ID: CA2088 16542 Ventura Blvd Ste 505 Encino, CA 91436 drdanrosen@yahoo.com 818-907-6736

Gardena Western Dental Services, Inc. Provider ID: CA5103 15515 S Normandie Ave Gardena, CA 90247 310-953-0900

Glendale Cathleen Toshie Arima, DDS Provider ID: CA4831 247 W Glenoaks Blvd Glendale, CA 91202 lhgvca@yahoo.com 818-246-5671 Glendale Dental Arts Provider ID: CA4760 230 N Maryland Ave Ste 205 Glendale, CA 91206

dentalspecialtycenter@yahoo.com 818-547-2804

Glendale Dental Arts Center Provider ID: CA4866 814 E Broadway Ste 4 Glendale, CA 91205

glendale1dentalgroup@gmail.com 818-241-1160

Gregory L. Van Hale, DDS Provider ID: CA4832 247 W Glenoaks Blvd Glendale, CA 91202 lhgvca@yahoo.com 818-246-5671

Irina M. Sahaki, DDS Provider ID: CA4460 520 E Broadway Ste 402 Glendale, CA 91205 irina.sahaki.dds@att.net 818-241-2424 Starlight Dental Group Provider ID: CA4314 207 N Central Ave Glendale, CA 91203 starlightdentalgroup@gmail.com 818-243-8888

Glendora Advanced Dental Smiles Provider ID: CA4257 455 W Foothill Blvd Glendora, CA 91741

deanna@advancedentalsmiles.com 626-914-9808

Arnouk D.D.S., INC Provider ID: CA4973 210 S GRAND AVE STE 420 GLENDORA, CA 91741 office@foothillfamilydentalgroup.com 626-963-3322

Glendora Dental Center Provider ID: CA5021 610 E Route 66 Glendora, CA 91740 francofamilydental@gmail.com 626-335-7727

New Vision Dental Provider ID: CA4413 1814 E Route 66 Ste B Glendora, CA 91740 newvisiondental@yahoo.com 626-963-7000

Hacienda Heights Comfort Smile Family Dentistry Provider ID: CA2499 15724 Gale Ave Hacienda Heights, CA 91745 comfortsmile@hotmail.com 626-333-5244

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Hawthorne Choice Dental Group Provider ID: CA4687 12730-D Hawthorne Blvd. Hawthorne, CA 90250 hawbilling@westcoastdental.com 310-644-4000

Western Dental Services, Inc. Provider ID: CA4577 14248 Hawthorne Blvd Hawthorne, CA 90250 310-978-2973

Hollywood Sami Y. Nouhad, DDS Provider ID: CA2257 7080 Hollywood Blvd Ste 817 Hollywood, CA 90028 323-466-3541

*PCP assignment limitations

Huntington Park HP Dental Group

Provider ID: CA4899 5802 Pacific Blvd Huntington Park, CA 90255 hpdentalgroup@yahoo.com 323-583-1644

Daniel A Garolan Provider ID: CA4993 2680 Saturn Ave Suite 180 Huntington Park, CA 90255 danielgaroian@dsleztreme.com 323-560-4658

Huntington Family Dental Provider ID: CA2107 2542 E Florence Ave Huntington Park, CA 90255 mojab@att.net 323-582-0755

Huntington Park Family Dental Provider ID: CA2290 2711 E Slauson Ave Huntington Park, CA 90255 hpfd2711@yahoo.com 323-582-4474

Smiles West Provider ID: CA4968 5501 Pacific Blvd Huntington Park, CA 90255 ana.barron@smileswest.com 323-586-0600

Total Care Dental & Orthodonti Provider ID: CA4991 2630 Zoe Ave

Huntington Park, CA 90255 mfernandez@toatlcaredentalgroup.com 323-230-6366

Inglewood Newhart Dental Center Provider ID: CA4638 3516 W Imperial Hwy Inglewood, CA 90303 lillian@newhartdental.com 310-550-1533

La Crescenta Family Dentistry Provider ID: CA4003 3157 Foothill Blvd Ste A La Crescenta, CA 91214 mehrabiandds@gmail.com 818-541-9724

Healthy Smiles Of La Crescenta Provider ID: CA2753 2644 Foothill Blvd La Crescenta, CA 91214 rebeccacrescenta@gmail.com 818-248-9988

La Puente Fairgrove Dental Center Provider ID: CA4288 15260 Fairgrove Ave La Puente, CA 91744 fairgrovedentalcenter@gmail.com 626-968-4733

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Smiles West Provider ID: CA2509 15448 Amar Rd La Puente, CA 91744 paola@smileswest.com 626-810-8222

LA VERNE Dental Care Of La Verne Provider ID: CA5014 2323 Foothill Blvd LA VERNE, CA 91750 lv.office@francodental.net 909-596-1861

La Verne Dental and Implant Provider ID: CA5099 2488 Foothill Blvd C LA VERNE, CA 91750 lavernedentalimplant@gmail.com 909-596-1155

Lakewood Lakewood Cerritos Dental Cntr Provider ID: CA4894 5819 Adenmoor Ave Lakewood, CA 90713

manager@lakewoodcerritosdental.com 562-804-2296

Jiten M. Vasa, DDS Provider ID: CA481 11455 Carson St Ste E Lakewood, CA 90715 vasadental@gmail.com 562-860-7116

Lakewood Family Dental Group Provider ID: CA4652 5203 Lakewood Blvd Lakewood, CA 90712 staff.drsamaan@gmail.com 562-531-7373

Lakewood Plaza Dental Group Provider ID: CA4409 4346 South St Lakewood, CA 90712

lakewoodplazadentalgroup@yahoo.com 562-408-3500

Ocean Dental Group Provider ID: CA5066 5037 Lakewood Boulevard LAKEWOOD, CA 90712 lferreira@ocean.dental 562-531-0221

Lancaster Elite Dental Care Provider ID: CA4877 44439 17th St. West Ste. 201 Lancaster, CA 93534 elitedental201@gmail.com 661-723-1461

Family Dental Of Lancaster Provider ID: CA4117 44558 10th St W Lancaster, CA 93534 lan@westcoastdental.com 661-723-1111 Hi-Desert Dental Center Provider ID: CA2188 1745 W Ave K Ste C Lancaster, CA 93534 kckimberlye@yahoo.com 661-723-5400

Western Dental Services, Inc Provider ID: CA5033 2004 W Avenue J LANCASTER, CA 93536 salaniz@westerndental.com 661-949-1970

Western Dental Services, Inc. Provider ID: CA4509 44407 Challenger Way Lancaster, CA 93535 176wlc@westerndental.com 661-341-3100

Lawndale Dental Center Of Redondo Beach Provider ID: CA2619

16819 Hawthorne Blvd Lawndale, CA 90260 dcrbdds@gmail.com 310-921-3938

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Lomita Western Dental Services, Inc. Provider ID: CA4669 1929 Pacific Coast Hwy Unit A Lomita, CA 90717 811wlo@westerndental.com 310-602-7092

LONG BEACH Beautiful Smiles Dental Care Provider ID: CA5024 1729 Termino Ave LONG BEACH, CA 90804 info@beautifulsmilesdentalcare.com 562-494-8400

Dr. Zak Long Beach Dental Care Provider ID: CA5004 3620 Long Beach Blvd Ste B6 Long Beach, CA 90807 longbeach@zakdental.com 562-426-6458 Coastal Dental Care Provider ID: CA5071 816 W. Willow St Long Beach, CA 90806 coastaldentalcaregg@gmail.com 562-595-7077

Family Dental Care Provider ID: CA2589 1335 Long Beach Blvd Long Beach, CA 90813 familydental1327@yahoo.com 562-218-5555

Long Beach Dental Provider ID: CA4079 308 Orange Ave Long Beach, CA 90802

longbeachdentalpractice@gmail.com 562-436-4214

Perfect Smile Provider ID: CA4819 2530 Atlantic Ave Unit E Long Beach, CA 90806 perfectsmiledentist@yahoo.com 562-424-1004

*PCP assignment limitations

West Coast Dental Grp Of Lb Provider ID: CA4440 1835 Ximeno Ave Long Beach, CA 90815 lgb@westcoastdental.com 562-453-1111

Western Dental Services, Inc Provider ID: CA4143 2360 Pacific Ave Long Beach, CA 90806 832wip@westerndental.com 562-595-0731

Western Dental Services, Inc. Provider ID: CA4793 4516 Atlantic Ave Long Beach, CA 90807 818w/b_om@westerndental.com 562-495-6237

Western Dental Provider ID: CA4471 1150 E Anaheim Street Long Beach, CA 90813 562-506-1419

Los Angeles Airport Center Family Dental Provider ID: CA2779 5304 W Century Blvd Los Angeles, CA 90045

contactus@airportcenterfamilydental.com 310-215-1455

Crystal Dental Provider ID: CA4177 2206 S Figueroa St Los Angeles, CA 90007 cdla@crystaldentalcenters.com 213-748-8448

Anthony S. Pan, DMD Provider ID: CA4718 3346 N Eastern Ave Los Angeles, CA 90032 freshdental1@yahoo.com 323-227-1800

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Beverly Hills Prestige Dental Provider ID: CA2859 1125 S Beverly Dr Ste 400 Los Angeles, CA 90035 beverlyhillsdentistusa@gmail.com 310-286-7447

Centro Medico and Dental Provider ID: CA2564 514 E Washington Blvd Los Angeles, CA 90015 centromedico514@yahoo.com 213-749-3934

David Rabizadeh, DDS Provider ID: CA2440 2901 Whittier Blvd Ste D Los Angeles, CA 90023 whittierdental@att.net 323-526-1992 Dental Pros Provider ID: CA2924 1018 1/2 N Vermont Ave Los Angeles, CA 90029 dentalprosmile@gmail.com 323-953-7700

*PCP assignment limitations Green Dental Center Provider ID: CA4559 3054 W 8th St Ste 106 Los Angeles, CA 90005 greendentalgroup@gmail.com 213-387-2864

Happy Smiles Dental Provider ID: CA5009 6221 W Wilshire Blvd #307

LOS ANGELES, CA 90048 dalia@doctor.com 323-931-9161 Impressive Dental Provider ID: CA4728 1435 S Vermont Ave Ste 101 Los Angeles, CA 90006 213-739-3096

James T. Black Jr. DDS Provider ID: CA371 3015 Crenshaw Blvd Los Angeles, CA 90016 cpdc@sbcglobal.net 323-731-0801

*PCP assignment limitations Keromina Dental Group Provider ID: CA4971 5711 E Beverly Blvd Los Angeles, CA 90022 dentalkeromina@gmail.com 323-213-3676

Olga Mikhasko, DDS Provider ID: CA4294 5449 Hollywood Blvd Ste C Los Angeles, CA 90027 olgamikkashodds@gmail.com 323-463-1760

Pico La Cienega Dental Provider ID: CA2813 8530 W Pico Blvd Los Angeles, CA 90035 p.lacienegadental@yahoo.com 310-854-6107

Shahram Sayedna, DDS Inc. Provider ID: CA2890 1700 Westwood Blvd Los Angeles, CA 90024 shahramjaan@yahoo.com 310-470-3095 Smiles West Provider ID: CA5017 1440 W. Manchester Ave Los Angeles, CA 90047 kim@smileswest.com 323-753-1141 Steven F. Stanley, DDS Provider ID: CA4727 6221 Wilshire Blvd Ste 307 Los Angeles, CA 90048 info@stevenfstanleydds.com 323-931-1446

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Vermont Dental Care Provider ID: CA4406 8914 S Vermont Ave Los Angeles, CA 90044 vermontdental@gmail.com 323-750-3370 West Coast Dental Group Provider ID: CA4033 5162 Whittier Blvd Los Angeles, CA 90022 ela@westcoastdental.com 323-415-6161 West Coast Dental Group Provider ID: CA4684 1423 E Gage Ave Ste A Los Angeles, CA 90001 gag@westcoastdental.com 323-983-4000

West Coast Dental Grp Of L.A. Provider ID: CA2280 2604 S Vermont Ave Ste F Los Angeles, CA 90007 la@westcoastdental.com 323-731-3333 West Coast Dental/6th St Provider ID: CA4393 1725 W 6th St Los Angeles, CA 90017 6th@westcoastdental.com 213-413-5151

Western Dental Services, Inc. Provider ID: CA4599 12420 Venice Blvd Los Angeles, CA 90066 148wla@westerndental.com 310-482-0014

Western Dental Services, Inc. Provider ID: CA4589 1200 W Martin Luther King Jr Blvd Los Angeles, CA 90037 323-295-8004

Western Dental Services, Inc. Provider ID: CA4597 1054 Vine Street LOS ANGELES, CA 90038 034why@westerndental.com 323-465-9055

Western Dental Services, Inc. Provider ID: CA4611 1565 S Western Ave Los Angeles, CA 90006 035wwv_om@westerndental.com 323-734-8843

Lynwood Smiles West

Provider ID: CA2562 11035 Long Beach Blvd Ste 5 Lynwood, CA 90262 lorena@smileswest.com 310-608-7777

Farid Pakravan Dental Corp. Provider ID: CA2680 9910 Long Beach Blvd Ste A Lynwood, CA 90262 lyn@westcoastdental.com 323-563-8900

Western Dental Services, Inc Provider ID: CA4147 3680 E Imperial Hwy Ste 100 Lynwood, CA 90262 866-427-0474

*PCP assignment limitations

Marina Del Rey Marina Dentistry

Provider ID: CA4124 4292 Lincoln Blvd Marina Del Rey, CA 90292 marina.dentistry@hotmail.com 310-578-5000

Mission Hills Smiles West

Provider ID: CA5023 10331 Sepulveda Blvd Mission Hills, CA 91345 myranda@smileswest.com 818-810-3290

(21)

Monrovia West Coast Dental Group Provider ID: CA4660 154 W Foothill Blvd Ste C 2A Monrovia, CA 91016 mon@westcoastdental.com 626-263-3333

Montebello Comfort Dental Group Provider ID: CA4719 249 E Beverly Blvd Ste A Montebello, CA 90640

comfortdentalmontebello@yahoo.com 323-726-7500

David's Family Dentistry Provider ID: CA2452 2100 W Beverly Blvd Montebello, CA 90640 drdaviddds@att.net 323-724-9536 Montebello Dental Group Provider ID: CA5048 3301 W. Beverly Blvd Montebello, CA 90640

montebellodentalgroup@gmail.com 323-722-6766

Montebello Family Dental Provider ID: CA5122 711 West Whittier Blvd MONTEBELLO, CA 90640 mfddrgonzalez@gmail.com 323-278-0170 B Deirmenjian DDS Inc Provider ID: CA5062 1451 North Montebello Blvd Montebello, CA 90640 bcollins@smileswest.com 323-724-9955

Monterey Park Antranig Gary Kelleyan, DDS Provider ID: CA4098 616 N Garfield Ave Ste 404 Monterey Park, CA 91754 626-280-4122

Newhall Mitra E. Simanian, DDS Inc. Provider ID: CA2987 23107 Lyons Ave Newhall, CA 91321 goldenoakdental@yahoo.com 661-255-7338

North Hills West Coast Dental Provider ID: CA4063 15350 Nordhoff St Ste A and B North Hills, CA 91343 nhinfo@westcoastdental.com 818-672-8228

North Hollywood Ashok R. Gandhi, DDS Provider ID: CA2497 5942 Lankershim Blvd North Hollywood, CA 91601 agandhi8@yahoo.com 818-985-7477

*PCP assignment limitations Dr. Daniel Boudaie Fam. Dent. Provider ID: CA4416 10941 Victory Blvd North Hollywood, CA 91606 maribelcastellanos@drboudaie.com 818-509-1985

Sharam Nouri Dental Corp. Provider ID: CA4365 5216 Laurel Canyon Blvd North Hollywood, CA 91607 dentalcenter5216@att.net 818-769-1347

Northridge North Valley Family Dental Provider ID: CA5026 9535 Reseda Blvd #313 Northridge, CA 91324

northvalleyfamilydental@gmail.com 818-885-7230

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Norwalk Bhavi Shah, DDS Inc. Provider ID: CA4939 13300 San Antonio Drive Norwalk, CA 90650 norwalkdentalplace@gmail.com 562-863-9396

Norwalk Dental Group Provider ID: CA4901 12065 Orange St Norwalk, CA 90650

norwalkdental@smiledentalservices.com 562-584-4288

Norwalk Dentistry Provider ID: CA4792 11850 Firestone Blvd Ste 6 Norwalk, CA 90650 norwalkdentistry@gmail.com 562-864-1011

Pacoima Easy Care Dental Provider ID: CA4414 13003 Van Nuys Blvd Ste H Pacoima, CA 91331 easycaredental@ymail.com 818-834-0011

Paradise Dental Group Provider ID: CA4232 10059 Laurel Canyon Blvd Ste A Pacoima, CA 91331 paradisedental@gmail.com 818-896-0043

Palmdale Antelope Valley Comm. Clinic Provider ID: CA4707 2151 E Palmdale Blvd Palmdale, CA 93550 yhones@avclinic.org 661-942-2391 Hi-Desert Dental Center Provider ID: CA584 2205 E Palmdale Blvd Palmdale, CA 93550 661-273-1333

Rwigema Dental Corporation Provider ID: CA4903 3025 East Ave S Ste A-14 Palmdale, CA 93550 drjrwigema@gmail.com 661-265-7694 West AV Dental Group Provider ID: CA5016

38745 Tierra Subida Ave Suite 150 Palmdale, CA 93551

westavdental@smilefentalservices.com 661-272-9091

Western Dental Services, Inc. Provider ID: CA4483 510 W Rancho Vista Blvd Palmdale, CA 93551 142wpd@westerndental.com 661-273-9000

Panorama City Dan Rosen, DDS Provider ID: CA2156 8424 Van Nuys Blvd Panorama City, CA 91402 9to7dentalfamilycenter@gmail.com 818-893-4222

Dental Center Of San Miguel Provider ID: CA4266 8781 Van Nuys Blvd Fl 2 Panorama City, CA 91402 panodental@sanmiguelipa.com 818-892-2649

Gentle Dental Provider ID: CA4002 14526 Roscoe Blvd Ste 100 Panorama City, CA 91402 soledad@gentledentalpc.com 818-893-7858

Panorama City Dental Provider ID: CA4870 13549 Roscoe Blvd Panorama City, CA 91402 panoramacitydental@gmail.com 818-782-5501

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Van Nuys Panorama Dental Ctr Provider ID: CA266 8227 Van Nuys Blvd Panorama City, CA 91402 vnpanoramadental@aol.com 818-989-3074

Paramount Jayanti G. Patel, DDS Provider ID: CA2444 8131 Rosecrans Ave Ste 101 Paramount, CA 90723 562-634-2984 Sol Cohen Sedgh DDS Provider ID: CA2146 14525 Lakewood Blvd Suite A Paramount, CA 90723 par@westcoastdental.com 562-272-0000

PASADENA Teodik Baghdasarian Provider ID: CA4985 200 S El Molino Ave STE # 2 PASADENA, CA 91101

contact@genesisdentalesthetics.com 626-314-3550

Pasadena Fam Cosmetic/Implant Provider ID: CA4674

800 Fairmount Ave Ste 100 Pasadena, CA 91105 info@pasadenafamilydental.com 626-304-3004

Premier Care Dental Group Provider ID: CA4628 310 S Lake Ave Pasadena, CA 91101

info@premiercaredentalgroup.com 626-795-6855

South Lake Dental Provider ID: CA4111 903 E Del Mar Blvd Pasadena, CA 91106 southlakedental@yahoo.com 626-844-6674

*PCP assignment limitations

Washington Dental Group Provider ID: CA2410 1731 E Washington Blvd Pasadena, CA 91104 washingtondental@yahoo.com 626-296-0056

Western Dental Services, Inc. Provider ID: CA4482 470 N Los Robles Ave Pasadena, CA 91101 002wpa_om@westerndental.com 626-578-1200

Pico Rivera Ashok S. Mehta, DDS Provider ID: CA2077 9514 Whittier Blvd Pico Rivera, CA 90660 mdgpico@gmail.com 562-942-2345 Family Dentistry Provider ID: CA2429 8532 Whittier Blvd. Pico Rivera, CA 90660 raguden@hotmail.com 562-695-5251 David Yoo DMD Inc Provider ID: CA5113 8803 Whittier Blvd Suite 200 PICO RIVERA, CA 90660 dyooprimecare@gmail.com 562-463-6163

West Coast Dental Grp Of Pic Provider ID: CA4441 9050 Whittier Blvd Pico Rivera, CA 90660 picinfo@westcoastdental.com 562-456-1111

Pomona Armen Mardirosian, DDS Inc. Provider ID: CA4888 180 E Mission Blvd Ste A Pomona, CA 91766 dentalclinicpomona@gmail.com 909-623-5278

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Pomona Dental Group Provider ID: CA726 850 Indian Hill Blvd Pomona, CA 91767

pomonadentalgroup@hotmail.com 909-626-3541

*PCP assignment limitations Sahara Dental

Provider ID: CA2319 2005 W Holt Ave Pomona, CA 91768 insurance@sahara-dental.com 909-623-9590

*PCP assignment limitations Ublester Gomez, DDS Provider ID: CA4253 12 Rancho Camino Dr Ste 102 Pomona, CA 91766 stmoisesdental@yahoo.com 909-865-8500

West Coast Dental Group Provider ID: CA4759 763 Rio Rancho Rd Ste 120 Pomona, CA 91766 pom@westcoastdental.com 909-242-7989

Reseda Smile Brite Dental Provider ID: CA4949 18909 Sherman Way Reseda, CA 91335

ramintourddsreseda@yahoo.com 818-345-1343

*PCP assignment limitations Rubtsov DDS Inc Provider ID: CA4653 19301 Saticoy St Ste D Reseda, CA 91335 orubtsovadds@yahoo.com 818-772-4222

Rosemead Glenrose Dental Group Provider ID: CA2760 8951 Glendon Way Rosemead, CA 91770 626-288-7667

San Dimas Dr. ZaK Plaza Dental Care Provider ID: CA5006 1120 Via Verde San Dimas, CA 91773 sandimas@zakdental.com 909-599-2444

SAN FERNANDO Aswani Dental Corporation Provider ID: CA4665 12940 Foothill Blvd Ste C SAN FERNANDO, CA 91340 ezdentalgroup@gmail.com 818-408-5100 California Dental Provider ID: CA4080 1009 Glenoaks Blvd San Fernando, CA 91340 drpetrosyan@yahoo.com 818-361-3889 Heavenly Dental Provider ID: CA4108 321 N Maclay Ave Ste A San Fernando, CA 91340 818-837-9744

*PCP assignment limitations San Fernando Dental Care Provider ID: CA4296

500 San Fernando Mission Blvd Ste 200 San Fernando, CA 91340

cathycgeorge@aol.com 818-365-7107

San Gabriel Lingli Wang, DDS Provider ID: CA4624 1100 S San Gabriel Blvd San Gabriel, CA 91776 lingliw@hotmail.com 626-286-2728

San Gabriel Family Dentistry Provider ID: CA2482 531 W Las Tunas Dr Ste B San Gabriel, CA 91776 626-281-1628

(25)

San Pedro Hamid Cohen Kheradyar, DDS Provider ID: CA2177 138 S Gaffey St. San Pedro, CA 90731 310-514-9100 San Pedro Dental Care Provider ID: CA4690 520 W 7th St San Pedro, CA 90731 sanpedrodental@yahoo.com 310-832-5361

Santa Clarita Lyons Dental Care Provider ID: CA2804 24036 Lyons Ave Santa Clarita, CA 91321 sunlanddentalcare@yahoo.com 661-255-1015

Vista Village Dental Group Provider ID: CA2714 24355 Lyons Ave Ste 212 Santa Clarita, CA 91321 vistavillage@skydentalmgmt.com 661-259-5001

Western Dental Services, Inc. Provider ID: CA4476 23130 Lyons Ave SANTA CLARITA, CA 91321 661-260-3200

Gentle Dental Daly City Provider ID: CA4876 27661 Bouquet Canyon Rd Santa Clarita, CA 91350 andersonje@interdent.com 661-430-2001

Santa Fe Springs Santa Fe Dental

Provider ID: CA2451 10009 Orr And Day RD Santa Fe Springs, CA 90670 santafedental562@gmail.com 562-484-0808

Santa Monica American Family Dental Provider ID: CA2461 1044 Pico Blvd Santa Monica, CA 90405 info@yoursantamonicadentist.com 310-576-1341

Santa Monica Dental Provider ID: CA4318 1244 7th St Ste 101 Santa Monica, CA 90401 jpsabet@sbcglobal.net 310-393-0743

Sherman Oaks Sherman Oaks Dental Group Provider ID: CA4511 4955 Van Nuys Blvd Ste 520 Sherman Oaks, CA 91403 info@shermanoaksdentalgroup.com 818-990-4121

Southland Dental Care Provider ID: CA4717 4312 Woodman Ave Sherman Oaks, CA 91423 smiles@southlanddentalcare.com 818-788-8787

South Gate Dr. Naziri Dental Clinic Corp. Provider ID: CA2428 4186 Tweedy Blvd South Gate, CA 90280 dranaziri@yahoo.com 323-569-7131

*PCP assignment limitations Perfect Smile

Provider ID: CA2978 5863 Imperial Hwy Ste 2A South Gate, CA 90280 perfectsmiledentist@yahoo.com 562-862-1345

*PCP assignment limitations

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South Pasadena New Vision Dental Provider ID: CA4969 1506 Huntington Drive South Pasadena, CA 91030 newvisiondental.southpas@yahoo.com 626-799-2888

Studio City Royal Dental Spa Provider ID: CA2995 11711 Moorpark St Studio City, CA 91604 818-505-1211

*PCP assignment limitations S.C. Dental Care Provider ID: CA4035 4366 Tujunga Ave Studio City, CA 91604 info@studiocitydentalcare.com 818-985-5462

Suresh Iyengar, DDS Provider ID: CA465 3959 Laurel Canyon Blvd Ste M Studio City, CA 91604 sixengardds@gmail.com 818-762-0307

Sun Valley Family Dentistry Provider ID: CA2163 8805 Sunland Blvd Sun Valley, CA 91352 fdentistry@hotmail.com 818-767-5243

Sunland Sunland Dental Care Provider ID: CA2803 7902 Foothill Blvd Sunland, CA 91040 sunlanddentalcare@yahoo.com 818-353-5520

Sunland Family Dentistry Provider ID: CA4069 8522 Foothill Blvd Sunland, CA 91040 sunlanddentist@verizon.net 818-352-8888

Tarzana Fara Salehi, DDS Inc. Provider ID: CA2811 18740 Ventura Blvd Ste 105 Tarzana, CA 91356 dental21@att.net 818-342-2000

Tarzana Dental Specialists Provider ID: CA4564 18663 Ventura Blvd Ste 200 Tarzana, CA 91356

tarzanadentalspecialties@gmail.com 818-881-9000

Torrance Sorour DMD Dental Group Corp Provider ID: CA5022 923 W Carson St Torrance, CA 90502 allkiddentalcare@gmail.com 310-533-1300

Dental Associates Of Torrance Provider ID: CA4395 21229 Hawthorne Blvd Ste A Torrance, CA 90503 dat@westcoastdental.com 310-792-5600 Lomita Torrance Dental Provider ID: CA4821 23520 Crenshaw Blvd Torrance, CA 90505 peggyvargas@verizon.net 310-539-7835 Maha M Hanna DDS INC Provider ID: CA4975

3710 PACIFIC COAST HWY STE 101 TORRANCE, CA 90505

pchdental90505@gmail.com 562-630-2262

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West Coast Dental Group Torrance Provider ID: CA4369

1730 Sepulveda Blvd Ste 1 Torrance, CA 90501 westcoastdental@torrance.com 310-325-8888

Valencia Aesthetic Dentistry Provider ID: CA4125 23333 Cinema Dr Ste 190 Valencia, CA 91355

aestheticdentistryvalencia@gmail.com 661-254-9494

Baywood Dental Group Provider ID: CA4140 24121 Baywood Ln Valencia, CA 91355

baywooddentalgroup@gmail.com 661-291-1200

Canyon Dental Group Provider ID: CA4397 28237 Newhall Ranch Rd Suite 101

Valencia, CA 91355 val@@westcoastdental.com 661-257-4242

Dr. Zak Dental Care Provider ID: CA5003 23838 Valencia Blvd #150 Valencia, CA 91355 valencia@zakdental.com 661-253-4000 Mayo Dental Provider ID: CA4648 25864 Tournament Rd Ste F Valencia, CA 91355 mydentaloffice@gmail.com 661-291-6500

Van Nuys Bayaz Dental Group Provider ID: CA4103 14435 Hamlin St Ste 104 Van Nuys, CA 91401 bayazdentalgroup@gmail.com 818-781-0004

David Esraeli DDS PC Provider ID: CA5135 1765 Vanowen Street, Suite A VAN NUYS, CA 91406 drrbodental@gmail.com 818-574-4438 Family Dentistry Provider ID: CA2937 15355 Sherman Way Suite K Van Nuys, CA 91406 thevalleydentist2@yahoo.com 818-997-7797

Golden Care Dentistry Provider ID: CA4233 6330 Van Nuys Blvd Ste B Van Nuys, CA 91401 goldencaredds@yahoo.com 818-785-9944

Hamlin Dental Group Provider ID: CA4092 14401 Hamlin St Van Nuys, CA 91401 vn@hamlindentalgroup.com 818-782-6919

*PCP assignment limitations West Coast Dental Group Provider ID: CA4032 13716 Sherman Way Van Nuys, CA 91405 van@westcoastdental.com 818-988-2020

Western Dental Services, Inc Provider ID: CA4150 14600 Sherman Way Ste 100B Van Nuys, CA 91405 866-427-0474

West Covina Apex Implant Cntr and Dentistry Provider ID: CA4809 360 S Glendora Ave Ste 1 West Covina, CA 91790 info@aicdental.com 626-671-5800

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American Dental of West Covina Provider ID: CA4930 436 N Sunset Ave West Covina, CA 91790 info@mywestcovinadentist.com 626-337-7271

Pearl Dentistry Provider ID: CA4804 1414 S Azusa Ave Ste B-10 West Covina, CA 91791 pearldentistry@yahoo.com 626-430-7370 Smile Young Dentistry Provider ID: CA4900 151 N Azusa Ave. WEST COVINA, CA 91791 smileyoungdentistry@gmail.com 626-915-8880

*PCP assignment limitations

West Hollywood Victoria Olshansky, DDS Inc. Provider ID: CA4776 1136 N Fairfax Ave West Hollywood, CA 90046 dentalcare3142@yahoo.com 323-650-6936

West Los Angeles Century City Dental Group Provider ID: CA2795 10350 Santa Monica Blvd Ste 190 West Los Angeles, CA 90025 centurycitygroup@aol.com 310-557-1704

Dental Center Of West L.A. Provider ID: CA4011 1964 Westwood Blvd Ste 145 West Los Angeles, CA 90025 drjslutsky@yahoo.com 310-474-5575

Whittier Dr. Reddy Family Dentistry Provider ID: CA1023 7910 Norwalk Blvd Whittier, CA 90606 drreddy@verizon.net 562-699-0343

Western Dental Services, Inc. Provider ID: CA4472 14880 Whittier Blvd Whittier, CA 90605

044wwh_om/om/office/wds@wds.com 562-698-6555

Whittier Dental Provider ID: CA4691 16406 Whittier Blvd Whittier, CA 90603

whittierdental90603@gmail.com 562-694-0396

Whittier Square Dentistry Provider ID: CA4435 13215 Penn St Ste 200 Whittier, CA 90602 coelhomichele21@gmail.com 562-696-2862

Wilmington Donald H. Youn, DDS Inc. Provider ID: CA4437 851 W Pacific Coast Hwy Wilmington, CA 90744 handonyounyo@sbcglobal.net 310-830-3620

Woodland Hills Edward L. Rosen, DDS Inc. Provider ID: CA673 21500 Ventura Blvd Ste 200 Woodland Hills, CA 91364 varina@edwardsrosendds.com 818-999-6165

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Topanga Dental Care Provider ID: CA4317 21839 Ventura Blvd Woodland Hills, CA 91364 sanchez.diana30@yahoo.com 818-347-8444

MADERA Madera Sam's Dental and Orthodontics Provider ID: CA4847 2413 W Cleveland Ave Madera, CA 93637 samsdentaloffice@gmail.com 559-395-4808

Western Dental Services, Inc. Provider ID: CA4600 1100 N Gateway Dr Madera, CA 93637 559-661-5120

MARIPOSA Mariposa MACT Health Board, Inc. Provider ID: CA4909 5192 Hospital Road Mariposa, CA 95338 compliance@macthealth.org 209-966-0573

MERCED LOS BANOS Western Dental Services, Inc. Provider ID: CA5120 1153 W Pacheco Blvd LOS BANOS, CA 93635 209-383-2207

MERCED D S Park, DDS, PPH, INC Provider ID: CA4974 1120 Olivewood Dr MERCED, CA 95348

merceddental@smiledentalservices.com 209-325-4395

Western Dental Services, Inc. Provider ID: CA4525 1124 W Olive Ave Ste 101 Merced, CA 95348

143wmb_om@westerndental.com 209-383-5000

MONTEREY Salinas Western Dental Services, Inc. Provider ID: CA4488 921 S Main St Ste A Salinas, CA 93901 184wsn@westerndental.com 831-783-3160

Western Dental Services, Inc. Provider ID: CA4487 1229 N Main St Salinas, CA 93906 831-442-8000

NAPA Napa Western Dental Services, Inc. Provider ID: CA4529 1260 Trancas St Napa, CA 94558 802wnn@westerndental.com 707-501-5101

Golden State Smiles Provider ID: CA5093 2016 Jefferson St. NAPA, CA 94559 cmarvin@rockville-smile.com 707-603-4955

ORANGE Anaheim 7 Day Dental

Provider ID: CA4331 637 N Euclid St Anaheim, CA 92801 euclid@7daydental.com 714-772-2893

*PCP assignment limitations

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7 Day Dental Provider ID: CA4332 2265 W Lincoln Ave Anaheim, CA 92801 lincoln@7daydental.com 714-491-8600

*PCP assignment limitations A Dental Corporation Provider ID: CA5087 5475 East La Palma Ave Ste 200 ANAHEIM, CA 92807 info@anaheimsmilesdental.com 657-341-3700

State College Dental Provider ID: CA5131

330 N State College Blvd Suite 105 ANAHEIM, CA 92806

adriana.statecollegedental@yahoo.com 714-772-5005

Beach Dental Care Provider ID: CA4752 2940 W Lincoln Ave Ste L ANAHEIM, CA 92801 beachdentalcare@yahoo.com 714-995-4000

Brite Dental Group Provider ID: CA2938 1221 N Harbor Blvd Anaheim, CA 92801 mdbritedental@gmail.com 714-224-5255

Ca Dental Grp Of Anaheim Hills Provider ID: CA4375 140 S Fairmont Blvd Anaheim, CA 92808 cdganahills@yahoo.com 714-974-0054

California Dent Grp South Anah Provider ID: CA4261 2300 S Harbor Blvd Anaheim, CA 92802 cdgsanaheim@yahoo.com 714-750-3030

California Dental group of nor Provider ID: CA2877 1221 N Euclid St Anaheim, CA 92801 mattardental@yahoo.com 714-491-2732

P.Dholakiya and Assoc, DDS Inc Provider ID: CA538

815 N Euclid St Anaheim, CA 92801

dentalcareofanaheim@hotmail.com 714-758-0791

V.Mai DDS, Inc Provider ID: CA4976 922 South Euclid St Anaheim, CA 92802 jamiealfaro@icloud.com 714-776-7015 P.Dholakiya Provider ID: CA4972 9672 Ball Road Anaheim, CA 92804 smilesforoc@yahoo.com 714-772-0102 Village Dental Group Provider ID: CA4329 1210 S Brookhurst St Anaheim, CA 92804

villagedentalgrouponline@yahoo.com 714-535-7500

Western Dental Services, Inc. Provider ID: CA4587 1696 W Katella Ave Anaheim, CA 92802 00swan@westerndental.com 714-635-6000

Your Dentist Provider ID: CA4711 3174 W Lincoln Ave Ste 102 Anaheim, CA 92801 youranaheimdentist@gmail.com 714-826-5000

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Brea Brea Dental Care Provider ID: CA4977 330 N Brea Blvd Ste B Brea, CA 92821 breadentalcare@gmail.com 562-356-0948

Peterson Dentistry Provider ID: CA5010 503 E. Imperial Hwy Brea, CA 92821

breadentalgroup@yahoo.com 714-672-9000

California Dental Group of Brea Provider ID: CA4916 2820 E Imperial Hwy Brea, CA 92821 cdgofbrea@yahoo.com 714-572-2818

Cosmetic and Dental Implant Ctr Provider ID: CA4678 782 N Brea Blvd Brea, CA 92821 brea@cdicdental.com 714-257-0330 Gentle Dental Brea Provider ID: CA4922 715 E Birch St Ste 4A Brea, CA 92821 brea@gentylel.com 714-332-1006 Imperial Dental Care Provider ID: CA2872 200 E Imperial Hwy Brea, CA 92821 dentalcare173@gmail.com 714-671-9999

Buena Park All Smiles Dental Provider ID: CA4442 7938 Valley View St Buena Park, CA 90620 buenaparkdental@gmail.com 714-670-7657

Adrian Acosta DDS A Profession Provider ID: CA5128

4600 Beach Blvd Ste A Buena Park, CA 90621 lauren@goldcoastdental.com 714-332-1621

P Zakhary DDS Inc Provider ID: CA5115 8402 Commonwealth Avenue BUENA PARK, CA 90621 buenaparkdentalcenter@yahoo.com 714-739-2051

Valley View Dental Provider ID: CA4123 10102 Valley View St Buena Park, CA 90620 thetswe9@yahoo.com 714-229-4898 West Coast Dental Group Provider ID: CA4034 8381 La Palma Ave Ste B and C Buena Park, CA 90620 bnpbilling@westcoast.com 714-228-9990

Corona Del Mar Corona Del Mar Dental Group Provider ID: CA4171 2345 E Coast Hwy Ste C Corona Del Mar, CA 92625 info@cdmdentalgroup.com 949-675-3131

Coast Dental Implant Center Provider ID: CA5054 2121 E Coast Hwy 220 Corona Del Mar, CA 92625 coastdentalimplant@gmail.com 949-644-1001

Costa Mesa Bright Dental Care Provider ID: CA4183 320 Bristol St Ste H Costa Mesa, CA 92626 brightdencare@hotmail.com 714-546-7595

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Smile Max Dental Center Provider ID: CA4848 2969 Harbor Blvd Costa Mesa, CA 92626 smilemaxdental@yahoo.com 714-437-1100

Cypress Cypress Dental Group Provider ID: CA4004 9922 Walker St Ste C Cypress, CA 90630

cypressdentalgroupdds@gmail.com 714-220-0354

Cypress Plaza Dental Group Provider ID: CA4410 5460 Orange Ave Cypress, CA 90630

debbie.cypressplazadentalgroup@gmail.com 714-226-9630

*PCP assignment limitations

Fountain Valley Dental Arts

Provider ID: CA4334 11703 Edinger Ave Fountain Valley, CA 92708 info@mydentalarts.net 714-775-1934 Fountain Valley Dental Provider ID: CA4105 17900 Brookhurst St Ste A Fountain Valley, CA 92708 fountainvdental@yahoo.com 714-887-4337

Quality Dental Care Provider ID: CA2514 17150 Euclid St Ste 322 Fountain Valley, CA 92708 smileupgrade@gmail.com 714-444-4224

*PCP assignment limitations

Fullerton Western Dental Services, Inc. Provider ID: CA4787 1620 S Harbor Blvd Ste A Fullerton, CA 92832 817wfn_om@wsterndental.com 714-294-7066

Garden Grove Coastal Dental Care Provider ID: CA5070 10044 Westminster Ave. Garden Grove, CA 92843 coastaldentalcaregg@gmail.com 714-539-7070

Garden Grove Dental Care Provider ID: CA4845 12630 Brookhurst St Ste B Garden Grove, CA 92840 ggdc92840@gmail.com 714-530-4920 Peach Dental Provider ID: CA4863 12462 Brookhurst St Ste C Garden Grove, CA 92840 primarydentalwithleslie@gmail.com 714-537-5700

Huntington Beach Big Dental Group

Provider ID: CA4330 18682 Beach Blvd Ste 100 Huntington Beach, CA 92648 info@bigdental.com 714-968-3522

Cosmetic and Dental Implant Ctr Provider ID: CA4688 19080 Brookhurst St Huntington Beach, CA 92646 hb@cdicdental.com 714-968-2527

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Cox Professional Dental Corp. Provider ID: CA4874 501 Main St Ste A Huntington Beach, CA 92648 andersonje@interdent.com 714-294-7132

Dental Associates of Huntington Beach Provider ID: CA4999

5942 Edinger Ave #101 HUNTINGTON BEACH, CA 92649 shalinishahandassociates@hotmail.com 714-377-4449

Irvine A I C and Dentistry Provider ID: CA4676 5405 Alton Pkwy Ste F Irvine, CA 92604 info@altonimplantcenter.com 949-262-0300

Art Of Dentistry Institute Provider ID: CA2581 2646 Dupont Dr Ste 200 Irvine, CA 92612

info@artofdentistryinstitute.com 949-955-3366

Ash Dental Corp. Provider ID: CA2660 16100 Sand Canyon Ave Ste 300 Irvine, CA 92618

ashdentalirvine@gmail.com 949-453-9800

Gentle Dental Irvine Provider ID: CA2674 4950 Barranca Pkwy Ste 105 Irvine, CA 92604 ruelasm@inderdent.com 949-551-4242 University Park Dental Provider ID: CA4342 5321 University Dr Ste A Irvine, CA 92612 updentalcare@gmail.com 949-653-2244

La Habra K. Dianatyazdi, DDS Provider ID: CA4191 1250 W Whittier Blvd La Habra, CA 90631 lahabrasmiles@yahoo.com 562-266-9277

Ladera Ranch 7 Day Dental

Provider ID: CA4327 27702 Crown Valley Pkwy Ste A2 Ladera Ranch, CA 92694 laderaranch@7daydental.com 949-365-1900

Laguna Hills ND Dental Care Provider ID: CA4893 24401 Ridge Route Dr Ste A107 Laguna Hills, CA 92653 info@lagunahillssmiles.com 949-588-2112

Laguna Miguel Murray Mar & Boyd Dental Corp Provider ID: CA5035 30140 Town Center Drive Laguna Miguel, CA 92677 candy@ranchonigueldental.com 949-249-4180

Laguna Niguel Choice Dental Care Provider ID: CA4810 30262 Crown Valley Pkwy Ste E Laguna Niguel, CA 92677 choicedentalcare@yahoo.com 949-363-0018

Laguna Woods 7 Day Dental

Provider ID: CA4326 24310 Moulton Pkwy Ste C1 Laguna Woods, CA 92637 lagunawoods@7daydental.com 949-859-3988

*PCP assignment limitations

28

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Cox Dental Corporation Provider ID: CA4757 24102 El Toro Rd Ste A Laguna Woods, CA 92637 murrieta@gentle1.com 949-830-6510

Los Alamitos Ashok S. Mehta, DDS Provider ID: CA338 10900 Los Alamitos Blvd Ste 133 Los Alamitos, CA 90720 mehtalosal@hotmail.com 562-596-8888

Los Alamitos Family Dentistry Provider ID: CA4754 5373 Katella Ave. Ste C

LOS ALAMITOS, CA 90720 562-598-7914

Mission Viejo Boyd Dental Corporation Provider ID: CA4937 24481 Alicia Pkwy Ste B3 Mission Viejo, CA 92691 info@alciaopds.com 949-586-9800

Gentle Dental Mission Viejo Provider ID: CA2792 25523 Marguerite Pkwy Ste C Mission Viejo, CA 92692 andersonje@interdent.com 949-768-1800 Marguerite Dental Care Provider ID: CA4090 27871 Medical Center Rd Ste 165 Mission Viejo, CA 92691 margueritedental@gmail.com 949-364-2529

Newport Beach Newport Dental Center Provider ID: CA4746 2105 San Joaquin Hills Rd Newport Beach, CA 92660 newportdental@gmail.com 949-721-1730

Orange A Professional Corporation Provider ID: CA2535 235 E Katella Ave Orange, CA 92867 stnicholas20@yahoo.com 714-633-3336

*PCP assignment limitations California Dental Group Orange Provider ID: CA2641 1502 E Collins Ave Orange, CA 92867

fred.medina@morgandentalcorp.com 714-288-8464

Comfort Smile Family Dental Provider ID: CA2500 1920 E Katella Ave Ste J Orange, CA 92867 comfortsmile@hotmail.com 714-997-4133 Mayfair Dental Provider ID: CA4997 1616 E Mayfair Ave Orange, CA 92867 714-744-8164

Adrian Acosta DDS A profession Provider ID: CA5127

1122 E Lincoln Ave Ste 104 ORANGE, CA 92865 nayeli@goldcoastdental.com 714-282-2490

Orange Dental Group Provider ID: CA4306 235 S Tustin St Orange, CA 92866 aheidari@hotmail.com 714-744-0044

*PCP assignment limitations Preferred Dental Provider ID: CA2629 2022 W Chapman Ave Orange, CA 92868 smile@awesomedds.com 714-978-3333

(35)

Thuan Nguyen Provider ID: CA5153 1872 N Tustin Street ORANGE, CA 92865 tpdg123@gmail.com 714-637-8662

Town and County Dental Center Provider ID: CA4297

1111 W Town and Country Rd Ste 33 Orange, CA 92868

tcdc777@yahoo.com 714-285-0505 West Coast Dental Group Provider ID: CA2729 179 N Tustin St Orange, CA 92867 ora@westcoastdental.com 714-228-1035

Placentia Cosmetic and Dental Implant Ctr Provider ID: CA4677 1858 N Placentia Ave Placentia, CA 92870 plamanager@cdicdental.com 714-577-9070

Gentle Dental Placentia Provider ID: CA4927 620 N Rose Dr Ste B Placentia, CA 92870 andersonje@interdent.com 714-294-7134

Rancho Santa Margarita Santa Margarita Dental Group Provider ID: CA2969 22195 El Paseo Ste 260 Rancho Santa Margarita, CA 92688 info@santamargaritadental.com 949-459-9300

So Cal Smiles Dentistry Provider ID: CA4881 22195 El Paseo Ste 220 Rancho Santa Margarita, CA 92688 drk@socalsmiles.net

949-766-0006

San Juan Capistrano Capistrano Dental Group Provider ID: CA4187 32112 Camino Capistrano San Juan Capistrano, CA 92675 capistranodental@gmail.com 949-487-3273

*PCP assignment limitations Ortega Cottage Dentistry Provider ID: CA5073 27382 Calle Arroyo San Juan Capistrano, CA 92675 ortegacottagedentistry@gmail.com 949-218-6888

Santa Ana Morning Dental Provider ID: CA4945 1125 E 17th St Ste W127 Santa Ana, CA 92701 snguyen@morningdental.com 714-541-9203

Gardner Dental Corporation Provider ID: CA4928 1617 E 1st St Ste A Santa Ana, CA 92701 santaanasmilesdental@gmail.com 714-617-5048

Santa Maria Dental Office Provider ID: CA4675 801 N Tustin Ave Ste 502 Santa Ana, CA 92705 santamariadental502@gmail.com 714-505-1641

United Dental Care Provider ID: CA4324 1710 E 17th St Ste E Santa Ana, CA 92705 karmenbakaen@hotmail.com 714-564-9000

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Western Dental Services, Inc. Provider ID: CA4605 2701 W 1st St Santa Ana, CA 92703 001wsa@westerndental.com 714-973-2022

Stanton Smile Factory Dental Provider ID: CA2610 7025 Katella Ave Stanton, CA 90680

stantondentalcare714@gmail.com 714-229-1234

Tustin AA Family Dental Group Provider ID: CA4479 18102 Irvine Blvd Ste 205 Tustin, CA 92780

aafamilydentalgroup@gmail.com 714-731-5656

Ashokkumar S metha DDS Inc Provider ID: CA2640 740 El Camino Real Ste 200 Tustin, CA 92780 mdgtustin@gmail.com 714-838-3230 Amanda Rafi DMD APDC Provider ID: CA5011 14591 Newport Ave # 108 Tustin, CA 92780 rafidentalgroup@gmail.com 949-922-4310

Tustin Dental Care Provider ID: CA4980 275 Centennial Way, Ste 109 TUSTIN, CA 92780 tustinsmiles@outlook.com 714-832-8089

Zareh And Zareh Dental Inc. Provider ID: CA4857 13830 Red Hill Ave Tustin, CA 92780 drzareh-staff@yahoo.com 714-832-1730

Westminster Kha D. Le, DMD Provider ID: CA4303 9900 McFadden Ave Ste 101 Westminster, CA 92683 mcfaddendental@yahoo.com 714-531-5770

Sam C. Morcos, DDS Provider ID: CA4333 7271 Westminster Blvd Westminster, CA 92683 info@drmorcos.com 714-894-3306

Taylor Pham Dental Corp. Provider ID: CA4477 15310 Goldenwest St Westminster, CA 92683 goldenwestdental@yahoo.com 714-893-2411

Yorba Linda Eastlake Village Dental Provider ID: CA2940 20429 Yorba Linda Blvd Yorba Linda, CA 92886 washingtondentalgrp@gmail.com 714-695-9530

Yorba Linda Dental Care Provider ID: CA4981 20395 Yorba Linda Blvd YORBA LINDA, CA 92886 ylsmiles@outlook.com 714-693-5555

PLACER Auburn Smile Time Dental Provider ID: CA5080

500 Auburn Folsom Road Suite 330 B Auburn, CA 95603

info@smiletimedental.com 916-984-4224

(37)

Lincoln Bella Vista Dental Provider ID: CA5059 825 Twelve Bridges Dr Suite 55 Lincoln, CA 95648

office@bellavistasmiles.com 916-543-4400

Smile Time Dental Provider ID: CA5077 731 Sterling Parkway 100 B Lincoln, CA 95648 info@smiletimedental.com 919-984-4224

Rocklin Smile Time Dental Provider ID: CA5079 2241 Sunset Blvd Suite E Rocklin, CA 95765 info@smiletimedental.com 916-984-4224

Roseville Confidental Care Provider ID: CA4681 927 Reserve Dr Ste A Roseville, CA 95678 confidentalus@gmail.com 916-742-5424 Eureka Ridge Dentistry Provider ID: CA4829 1490 Eureka Rd Ste 130 Roseville, CA 95661 eurekaridgedentistry@gmail.com 916-409-3979

Smile Designs Of Roseville Provider ID: CA4825 1158 Cirby Way Ste B Roseville, CA 95661

smiledesignsofroseville@yahoo.com 916-771-0330

Western Dental Services, Inc. Provider ID: CA4535 9450 Fairway Dr Ste 110 Roseville, CA 95678 182wrv_om@westerndental.com 916-771-8464

RIVERSIDE Banning Western Dental Services, Inc. Provider ID: CA4497 887 W Ramsey St Banning, CA 92220 191whg@westerndental.com 951-849-3214

Beaumont Beaumont Cherry Valley Dental Provider ID: CA4862 1202 Beaumont Ave Beaumont, CA 92223 info@danielparkdds.com 951-845-2661 Dr Lee Beaumont Dental Provider ID: CA5144 930 Beaumont Avenue BEAUMONT, CA 92223 drleebeaumontdental@gmail.com 951-845-2200

Cathedral City Ruben Mendez, DDS Dental Ofc Provider ID: CA4382 68100 Ramon Rd Ste A4 Cathedral City, CA 92234 info@rubenmendezdds.com 760-483-3344

*PCP assignment limitations Western Dental Services, Inc. Provider ID: CA4495 69160 Ramon Rd Ste 100 Cathedral City, CA 92234 168hcy@westerndental.com 760-969-5469

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Corona Corona Family Dental Group Provider ID: CA4131 1358 W 6th St Ste 101 Corona, CA 92882 coronafamdental@att.net 951-734-4620 Cox Dental Corp. Provider ID: CA2994 1074 W 6th St Ste 104 Corona, CA 92882 campuzanob@interdent.com 951-279-7650

Eastvale Dental Provider ID: CA4742 6987 Hamner Ave Ste 5 Corona, CA 92880 luong100@mail.chapman.edu 951-371-3464

Joseph Rajabi, DDS Inc. Provider ID: CA4275 900 S Main St Ste 107 Corona, CA 92882 rajabidds@gmail.com 951-734-4170 McKinley Dentistry Provider ID: CA4312 115 N McKinley St Ste 105 Corona, CA 92879 mckinleydentistry@gmail.com 951-280-9300

Orchard Dental Group Provider ID: CA4458 2150 California Ave Ste 107 Corona, CA 92881

orcharddental@awesomedds.com 951-279-4333

West Coast Dental Group Provider ID: CA4818

1160 E. Ontario Ave Ste. 102 and 103 Corona, CA 92881

crn@westcoastdental.com 951-547-7484

Western Dental Services, Inc. Provider ID: CA4494 617 N Main St Corona, CA 92880 951-736-9508

Hemet Bright Smile Dental Care Provider ID: CA4374 1020 E Florida Ave Hemet, CA 92543 brightsmilehemet@yahoo.com 951-765-1234

West Coast Dental Group of Hem Provider ID: CA4943

3027 West Florida Ave Unit P1 Hemet, CA 92545 hem@westcoastdental.com 951-791-9111

Downtown Dental Provider ID: CA4784 301 E Florida Ave Ste A Hemet, CA 92543

downtownhemetdds@gmail.com 951-925-6621

Hemet Smiles Provider ID: CA4704 1001 S State St Ste B Hemet, CA 92543 951-658-6100 Sahara Dental Provider ID: CA4644 255 N Gilbert St Ste C1 Hemet, CA 92543 hemet@sahara-dental.com 951-766-7990

Western Dental Services, Inc. Provider ID: CA4491 2091 W Florida Ave Ste 100 Hemet, CA 92545

137bhe_om@westerndental.com 951-929-2222

References

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