OrganizationActive
Priyawat and Kim Dental Services
NPI 1801461561 · Oral and Maxillofacial Surgery Clinic/Center · Chino Hills, CA
Provider details
- NPI number
- 1801461561
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrick Bannatz, Office Manager(909) 497-9449
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Practice location
15911 Pomona Rincon Rd Ste 120
Chino Hills, CA 91709-5567
Phone: (909) 497-9449
Fax: (844) 600-4099
Approximate (ZIP-level) locationGet directions
Mailing address
15911 Pomona Rincon Rd Ste 120
Chino Hills, CA 91709-5567
Other names (DBA / former)
- Doing business as
- Omnia Dental Care
- Doing business as
- Omnia Dental Care
Additional practice locations (1)
- 444 N Harbor Blvd Ste 240Fullerton, CA 92832-1968Phone: (714) 519-3601
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2023-08-22
- Certified
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.