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BLEACH DENTAL
NPI 1720692890
Clinic/Center - Dental in Fountain Valley, CA

Active since September 04, 2020
11100 WARNER AVE STE 160, FOUNTAIN VALLEY, CA 92708(714) 799-9945(657) 218-9699 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2020, Sep 4, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About BLEACH DENTAL

This page provides the complete NPI Profile along with additional information for Bleach Dental, a provider established in Fountain Valley, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1720692890 assigned on September 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Bleach Dental. The authorized official of this NPI record is Dr. Kouichi Cliff Itoh Dds (Dentist)

NPI
1720692890 Verify this NPI
Provider Legal Name
K ITOH DDS INC
Other Organization Name
BLEACH DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11100 WARNER AVE STE 160 FOUNTAIN VALLEY, CA 92708
Location Phone
(714) 799-9945
Location Fax
(657) 218-9699
Mailing Address
11100 WARNER AVE STE 160 FOUNTAIN VALLEY, CA 92708
Mailing Phone
(714) 799-9945
Mailing Fax
(657) 218-9699
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-04-2020
Last Update Date
10-01-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KOUICHI CLIFF ITOH DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(714) 799-9945

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Frequently Asked Questions

What is K ITOH DDS INC's NPI number?

The NPI number assigned to this healthcare provider is 1720692890, enumerated as an "organization" on September 04, 2020.

Where is the provider located?

The provider is located at 11100 WARNER AVE STE 160 FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 799-9945.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.