OrganizationActive
Beau Mckenzie Soares D.D.S., Inc
NPI 1265710826 · Oral and Maxillofacial Surgery Clinic/Center · Anaheim, CA
Provider details
- NPI number
- 1265710826
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beau Soares, President(714) 974-5906
- License
- 56076 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
500 S Anaheim Hills Rd
Suite 222
Anaheim, CA 92807-4780
Phone: (714) 974-5906
Fax: (714) 974-5982
Approximate (ZIP-level) locationGet directions
Mailing address
500 S Anaheim Hills Rd
Anaheim, CA 92807-4780
Registry dates
- Enumerated
- 2011-08-01
- Last updated
- 2011-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.