Healthcare Provider Details
I. General information
NPI: 1104909126
Provider Name (Legal Business Name): CARE DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2321 E 4TH STREET SUITE E
SANTA ANA CA
92705
US
IV. Provider business mailing address
2321 E 4TH STREET SUITE E
SANTA ANA CA
92705
US
V. Phone/Fax
- Phone: 714-210-2988
- Fax: 714-210-2878
- Phone: 714-210-2988
- Fax: 714-210-2878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 48502 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 38978 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
YUHSIN
C
LIAO
Title or Position: DOCTOR OWNER CEO
Credential: DDS
Phone: 714-318-9136