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Two great dental programs For 2021 Kaiser Permanente Federal Members You must be enrolled in one of Kaiser Permanente’s medical plans to elect KPIC Dental Insurance Plan or DeltaCare® USA dental coverage We keep you smiling®

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Two great dental programsFor 2021 Kaiser Permanente Federal MembersYou must be enrolled in one of Kaiser Permanente’s medical plans to elect KPIC Dental Insurance Plan or DeltaCare® USA dental coverage

We keep you smiling®

Kaiser Permanente is pleased to offer Federal employees and eligible Federal retirees and dependents who are currently enrolled or planning to enroll in one of Kaiser Permanente’s medical plans a choice of the dental plans described below. Option 1 is a dental PPO plan underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and is administered by Delta Dental of California (Delta Dental). Option 2 is a DeltaCare® USA dental HMO program provided by Delta Dental of California and administered by Delta Dental Insurance Company. (These companies are financially responsible for their own products.) These benefits are neither offered nor guaranteed under a contract with the Federal Employees Health Benefit (FEHB) Program, but are made available to all enrollees and family members who become members of Kaiser Permanente.

During the annual open enrollment period, you have the opportunity to enroll in one of the two plans. If you are already enrolled, you may change plans during this period. Your coverage under the enrolled plan will become effective on January 1, 2021 and will extend through December 31, 2021, subject to your continued premium payments and enrollment in Kaiser Permanente’s traditional HMO Plan. If you are already enrolled under one of the two dental plans and are not planning on changing your coverage, you do not need to complete the enrollment form. If you are changing plans, you must provide 30‑days advance written notice of termination. If you are covered under Option 1, the notice must be sent to Delta Dental (see page 11 for address). If you are covered under Option 2, the notice must be sent to DeltaCare USA (see page 23 for address).

If you are not already enrolled, for questions about KPIC’s Dental Insurance Plan, contact Delta Dental at:

800‑933‑9312 Monday through Friday, 8 a.m. — 4 p.m. Pacific time

Your Kaiser Federal plan ID number is #09874

If you are already enrolled in the KPIC Dental Insurance Plan, for more information, contact Delta Dental at:

800‑835‑2244 Monday through Friday, 8 a.m. — 8 p.m. Pacific time

Your Kaiser Federal plan ID number is #09874

For questions about DeltaCare USA, contact Delta Dental at:

800‑422‑4234 Monday through Friday 8 a.m. — 8 p.m. Pacific time

Your Kaiser Federal plan ID number is #71114

You have two dental plans to choose from:

1 KPIC’s Dental PPO Insurance Plan allows you the freedom to see any licensed dentist of your choice. It uses a Table of Allowances that lists the dollar amount KPIC will pay for each covered dental service. A copy of the Table of Allowances is included in this brochure. You must be enrolled in Kaiser Permanente’s traditional HMO medical plan to elect this dental coverage.

With KPIC’s Dental PPO Insurance Plan . . . • You have the freedom to choose any licensed dentist. • Each family member may visit a different dentist. • Table of Allowances lists the specific dollar amount

payable for each covered dental service. • Your out‑of‑pocket costs will usually be lowest if you

visit a Delta Dental PPOTM Dentist (PPO Dentist). If you can’t find a PPO Dentist, a Delta Dental Premier® Dentist (Premier Dentist) is your next best option. PPO and Premier dentists will not bill you above their Delta Dental contracted fees for covered services.

• Find Delta Dental dentists at deltadentalins.com. • Orthodontic services (braces) are not covered. • Claims are handled for you when you visit one of Delta

Dental’s approximately 47,100 participating dentist locations in California.

• Use your 10‑digit Kaiser Permanente Medical Record Number (MRN) or your social security number as your ID (to use your MRN, include the leading zeros).

• There is an annual deductible of $50 per person ($150 maximum per family); the maximum coverage annually is $1,000 per person.

• There is no deductible for diagnostic and preventive services.

• Some procedures are subject to a waiting period.

See KPIC Dental section beginning on page 2

KPIC Dental Insurance Plan Monthly premium*

Self only $35.38

Self and 1 party $62.71

Self and 2 or more $94.26

* Good through December 31

2 DeltaCare USA is a dental HMO program. With DeltaCare USA, you select a conveniently located network dentist to provide dental care for you and your family. A list of participating network dentists is enclosed for your review. Depending on the service you receive, you pay either a set dollar copayment or no copayment at all. With the DeltaCare USA program, there are no deductibles and no claim forms. You must be enrolled in Kaiser Permanente’s traditional HMO medical plan to elect this dental coverage.

With DeltaCare USA . . . • You select one of the more than 6,400 network dentists

statewide. • General dental care for the entire family is provided an

assigned Contract Dentist. Specialty care is coordinated through your Contract Dentist.

• You pay a set or no copayment for covered services. • Orthodontic services (braces) with a copayment of $1,600

for children under 19 and $1,800 for covered adults and dependent adult children.

• There are no claim forms to complete. • There are no deductibles. • There are no annual maximums except for accidental

injury.

See DeltaCare USA section beginning on page 14

DeltaCare USA Monthly* Quarterly*

Self only $14.26 $42.77

Self and 1 party $23.87 $71.60

Self and 2 or more $36.18 $108.53

* Good through December 31

These benefits are neither offered nor guaranteed under contract with the FEHB Program. Remember that you are enrolling in your selected dental plan for a minimum of 12 consecutive months. This does not apply if your employment is terminated. Payment for either the KPIC or DeltaCare USA plan may be automatically withdrawn from the checking, savings or credit union account you specify. To review a brochure of the program, visit kp.org/feds.

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KPIC Dental PPO Insurance Plan

One of your non‑FEHB Dental plan options is a dental PPO insurance plan underwritten by KPIC, and administered by Delta Dental of California.

KPIC’s dental PPO insurance plan uses a Table of Allowances and allows you the freedom to see any licensed dentist of your choice. The Table of Allowances lists the dollar amount KPIC will pay for each covered dental service. A copy of the Table of Allowances is shown on pages 6 and 8 of this brochure.

The monthly premiums for calendar year 2021 are listed below:

KPIC Dental Insurance Plan Monthly premium*

Self only $35.38

Self and 1 Party $62.71

Self and 2 or more $94.26

* Good through December 31, 2021

These benefits are neither offered nor guaranteed under contract with the FEHB Program.

Note: This is only a brief description of your coverage. A certificate of insurance and schedule of coverage setting forth the terms and conditions of your coverage will be sent to you after you enroll. The dental coverage described in this section of the brochure is underwritten by Kaiser Permanente Insurance Company, a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP).

About KPIC’s Dental Insurance PlanIf you’re concerned about the cost of dental treatment for you and your family, you should know about KPIC’s dental PPO insurance plan. With a low monthly premium, KPIC’s group dental insurance plan allows you to budget for your annual dental costs. You can do this because KPIC’s dental PPO insurance plan contains a Table of Allowances listing the specific dollar amount KPIC will pay for each covered dental service. Since you receive in advance the complete Table of Allowances for the plan, you’ll know exactly how much of your treatment will be covered. Because dental fees do vary by dentist, it may be to your advantage to compare your dentist’s fees prior to making an appointment.

Who can joinAs a Federal employee or a Federal retiree enrolled in one of Kaiser Permanente’s Plans, you and your eligible dependents are eligible for coverage under KPIC’s dental PPO insurance plan. Your eligible dependents include your lawful spouse and children from birth to age 26, including stepchildren and children placed with you for adoption or foster care. A child 26 years of age or older may continue to be eligible as a dependent if incapable of self‑support due to a mental or physical disability that commenced prior to age 26, provided that the person is chiefly dependent upon the eligible member, due to a mental or physical disability, and Delta Dental receives notice of the disability.

Free choice of dentistsYou may see any dentist for your covered treatment whether the dentist is a PPO Dentist, Premier Dentist or a Non‑Delta Dental Dentist. However, as a PPO plan, the greatest benefits ‑ including out‑of‑pocket savings ‑ occur when you choose a PPO Dentist. You can find Delta Dental dentists at deltadentalins.com. To use KPIC’s dental PPO insurance plan, simply make an appointment with the dentist of your choice. Be sure to give the dental office your Kaiser Federal plan ID number and social security number or Medical Record Number (MRN).

Special advantages from Delta Dental dentistsKPIC’s dental PPO insurance plan is administered by Delta Dental of California, and you get special advantages when you go to one of the more than 47,100 Delta Dental dentist locations in California. These participating dentists have agreed to handle all your claims paperwork and to charge you no more than their Delta Dental contracted fees. As KPIC’s administrator, Delta Dental reimburses these dentists directly, so you are responsible only for the amount of the charge that exceeds the covered amount shown in

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the Table of Allowances and any deductible, non‑covered services and/or amount over the annual maximum. Your out‑of‑pocket costs will usually be lowest if you visit a Delta Dental PPO Dentist. If you can’t find a PPO Dentist, a Delta Dental Premier Dentist is your next best option. PPO and Premier Dentists will not bill you above their Delta Dental contracted fees for covered services (no “balance billing”). You may use your 10‑digit Kaiser Permanente Medical Record Number (MRN) or your social security number as your ID number (to use your MRN, include the leading zeros). Find Delta Dental dentists at deltadentalins.com. If you go to a Non‑Delta Dentist (a dentist not contracted with Delta Dental), you are responsible for the entire charge and must submit a claim to Delta Dental for reimbursement. Delta Dental will reimburse you directly for the amount shown in the Table of Allowances. Since a majority of California’s dentists are Delta Dental dentists, your current dentist is probably already participating. Ask your dentist if he or she is a Delta Dental dentist.

Predictable costsWith KPIC’s dental PPO insurance plan you know exactly how much KPIC will pay for a covered dental service. Just refer to the Table of Allowances on pages 6 to 8 of this brochure to see how much KPIC will pay for each covered dental service.

No deductible on diagnostic and preventive servicesYour calendar year deductible is $50 per person, up to a maximum of $150 for the family. There is no deductible on diagnostic and preventive services. Your benefits cover a maximum of $1,000 of dental services for each covered enrollee per calendar year.

When you enroll in KPIC’s dental PPO insurance plan, you are enrolling for a minimum period of 12 consecutive months. This does not apply if your employment is terminated.

Waiting periodsSome of the covered dental services listed in the Table of Allowances are subject to a waiting period. This is the period of time that you and your covered dependents are required to have been continuously covered under KPIC’s dental PPO insurance plan before a specific dental service will be a covered benefit. Consult the Table of Allowances on pages 6 and 8 of this brochure for the specific dental services that are subject to a waiting period.

BenefitsKPIC’s dental PPO insurance plan covers the following benefits when they are provided by a licensed dentist and when necessary and customary by the standards of generally accepted dental practice:

I. Diagnostic and preventive benefits

Diagnostic• oral examinations• x‑rays• diagnostic casts• biopsy/tissue examinations• specialist consultations

Preventive• prophylaxis treatments (cleanings)• fluoride treatments• space maintainers

Limitations on diagnostic and preventive benefits• Benefits for oral examinations are limited to two

exams in any calendar year while the patient is covered under any KPIC dental insurance plan. See “Additional benefits during pregnancy.”

• Benefits for cleanings or a procedure for cleaning are limited to two in any calendar year while the patient is covered under any KPIC dental insurance plan. See “Additional benefits during pregnancy.” Routine cleanings are covered as diagnostic and preventive and periodontal cleanings are covered as a basic benefit.

• Fluoride treatments are limited to two in any calendar year while the patient is covered under any KPIC dental insurance plan.

• Full mouth x‑rays are covered only after five years have elapsed following any prior provision of full mouth x‑rays under any KPIC dental insurance plan. Bitewing x‑rays are covered on request by the dentist, but not more than twice in a calendar year for children through 18, and once in a calendar year for adults, while the patient is an eligible person under any KPIC dental insurance plan.

• Panoramic x‑rays are provided as an individual service only after five years have elapsed since any prior panoramic x‑ray was provided under any KPIC dental insurance plan.

• Additional benefits during pregnancy: If you are pregnant, KPIC will pay for additional services to help improve your oral health during pregnancy. The additional services each calendar year while you are eligible in this KPIC dental insurance plan include: one additional oral examination and either one additional routine cleaning or one additional periodontal scaling and root planing per quadrant. Written confirmation of your pregnancy must be provided by you or your dentist when the claim is submitted.

KPIC Dental

II. Basic benefits

Oral surgery• extractions and certain other surgical procedures,

including pre‑ and post‑operative care

Restorative • amalgam, synthetic porcelain and plastic restorations

(fillings) for treatment of carious lesions (visible destruction of hard tooth structure resulting from the process of dental decay)

Endodontics• treatment of the tooth pulp (root canal treatment)

Periodontics • treatment of gums and bones supporting the teeth

Sealants• protective coating for posterior molar teeth

Emergency• palliative treatment

Limitations on basic benefits• Periodontal scaling and root planing is a benefit

once for each quadrant each 24‑month period. See “Additional benefits during pregnancy.”

• Basic restorative benefits are subject to a six‑month waiting period.

• Sealants are available for first molars for eligible persons through age 8 and for second molars for eligible persons through age 15. The benefit includes the application of sealants only to permanent first and second molars with no caries (decay), with no restorations and with the occlusal surface intact. The sealants benefit does not include the repair or replacement of a sealant on any tooth within two years of its application.

III. Crowns, inlays, onlays and cast restoration benefits• crowns, inlays, onlays and cast restorations will

be covered when teeth cannot be restored with amalgam, synthetic porcelain or plastic restorations

Limitations on crowns, inlays, onlays and cast restoration benefits• Crowns, inlays, onlays and cast restoration benefits

are subject to a six‑month waiting period

IV. Prosthodontic benefitsProcedures for construction or repair of fixed bridges, partial or complete dentures

Limitations on prosthodontic benefits• Prosthodontic treatment is subject to a six‑month

waiting period. See Table of Allowances for further reference.

• Prosthodontic appliances that were provided under any KPIC program will be replaced only after five (5) years have passed, except when KPIC determines that there is such extensive loss of remaining teeth or change in supporting tissue that the existing fixed bridge or denture cannot be made satisfactory. Fixed prosthodontic appliances are limited to Enrollees age 16 and older. Replacement of a prosthodontic appliance not provided under a KPIC program will be made if KPIC determines it is unsatisfactory and cannot be made satisfactory.

• KPIC dental PPO insurance plan will pay the listed allowance toward the dentist’s fee for a standard cast chrome or acrylic partial denture or a standard complete denture. (A “standard” complete or partial denture is defined as a removable prosthetic appliance provided to replace missing natural, permanent teeth and which is constructed using accepted and conventional procedures and materials.)

• KPIC will not pay for implants (artificial teeth implanted into or on bone or gums), their removal or other associated procedures, but KPIC will credit the cost of a crown, pontic or standard complete or partial denture toward the cost of the implant associated appliance i.e., the implant supported crown or denture. The implant appliance is not covered.

V. General limitations — optional services• If an eligible person selects a more expensive plan of

treatment than is customarily provided, or specialized techniques rather than standard procedures, KPIC will pay the listed allowance for the lesser procedure, and the patient is responsible for the remainder of the dentist’s fee (examples: a crown where a silver filling would restore the tooth or a precision denture where a standard denture would suffice).

VI. General exclusions• Treatment of injuries covered by Workers’

Compensation or Employer’s Liability Laws.

• Services which are provided to the Covered Person by any Federal or State Governmental Agency or are provided without cost to the Covered Person by any municipality, county or other political subdivision, unless this exclusion is prohibited by law.

• Services for congenital (hereditary) or developmental (following birth) malformations, including but not limited to cleft palate, upper and lower jaw malformations, enamel hypoplasia (lack of development), fluorosis (a type of discoloration of the teeth) and anodontia (congenitally missing teeth), except those services provided to newborn children

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for medically diagnosed congenital defects or birth abnormalities.

• Treatment to stabilize teeth, treatment to restore tooth structure lost from wear (abrasion, erosion), or treatment to rebuild or maintain chewing surfaces due to teeth out of alignment or occlusion. Examples include but are not limited to: equilibration, periodontal splinting, occlusal adjustments or occlusal guards and abfraction.

• Any Single Procedure, provided prior to the date the Enrollee became eligible for services under this program.

• Prescribed drugs, medication, pain killers, antimicrobial agents, or experimental/investigational procedures.

• Experimental procedures.

• Charges by any hospital or other surgical or treatment facility and any additional fees charged by the Provider for treatment in any such facility.

• Charges for anesthesia, except for general anesthesia administered by a licensed Provider in connection with covered oral surgery procedures.

• Extraoral grafts (grafting of tissues from outside the mouth to oral tissues).

• Services for implants (prosthetic appliances placed into or on the bone of the upper or lower jaw to retain or support dental prosthesis) their removal or other associated procedures.

• Services for any disturbance of the temporomandibular (jaw) joints or associated musculature, nerves and other tissues (TMJ).

• Replacement of existing restoration for any purpose other than active tooth decay.

• Intravenous sedation, occlusal guards and complete occlusal adjustment.

• Hypnosis.

• Dental practice administrative services including but not limited to, preparation of claims, any non‑treatment phase of dentistry such as provision of an antiseptic environment, sterilization of equipment or infection control, or any ancillary materials used during the routine course of providing treatment such as cotton swabs, gauze, bibs, masks or relaxation techniques such as music.

• Charges for speech therapy.

• Charges for lost or stolen appliances.

• Services for which no charge is normally made in the absence of insurance.

• Charges incurred for oral hygiene instruction, a plaque control program, preventive control programs including home care times, dietary instruction, x‑ray duplications, cancer screening, tobacco counseling or broken appointments.

• Orthodontic treatment.

• Treatment plans that are more expensive than those customarily provided or specialized techniques used instead of standard procedures; for example, a precision denture where a standard denture would suffice.

• Maxillofacial prosthetics.

• Provisional and/or temporary restorations except an interim removable partial denture is covered only to replace extracted anterior permanent teeth during the healing period.

• Cosmetic surgery or procedures for purely cosmetic reasons.

• Laboratory processed crowns for Enrollees under age 12.

• Fixed bridges and removable partials for Enrollees under age 16.

• Interim implants.

• Indirectly fabricated resin‑based inlays and onlays.

• Treatment by someone other than a Provider or a person who by law may work under a Provider’s direct supervision.

• Services or supplies covered by any other health plan of the Contract holder.

• Procedures having a questionable prognosis based on a dental consultant’s professional review of the submitted documentation.

• Any tax imposed (or incurred) by a government, state or other entity, in connection with any fees charged for Benefits provided under the Contract, will be the responsibility of the Enrollee and not a covered benefit.

• Deductibles, amounts over plan maximums and/or any service not covered under the dental plan.

• Services covered under the dental plan but exceed Benefit limitations or are not in accordance with processing policies in effect at the time the claim is processed.

• Procedures not shown on the Table of Allowances.

To determine how much your out‑of‑pocket costs will be and what services will be covered, ask your dentist to obtain a pre‑treatment estimate from Delta Dental.

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KPIC Dental Insurance Plan 2021 Table of Allowances The amounts in the Allowance column shown below are what KPIC will pay for covered services subject to the limitations and exclusions of the plan.

Enrollees are responsible for paying the remainder of the Accepted Fee, the amount the attending Dentist agrees to accept as payment in full for services

rendered. Please refer to your Certificate of Insurance for further clarification of benefits. Enrollees should discuss all treatment options with their Dentist

prior to services being rendered.

Text that appears in brackets { } below is specifically intended to clarify the delivery of benefits under the Delta Dental program and is not to be

interpreted as CDT 2021 procedure codes, descriptors or nomenclature that are under copyright by the American Dental Association. The American

Dental Association may periodically change CDT codes or definitions. Such updated codes, descriptors and nomenclature may be used to describe these

covered procedures in compliance with federal legislation.

Code Description Allowance

D0100 – D0999 Diagnostic Clinical oral evaluations D0120 Periodic oral evaluation — established patient $18.00 D0140 Limited oral evaluation — problem focused $25.20 D0145 Oral evaluation for a patient under 3 years of age and counseling

with primary caregiver $18.00

D0150 Comprehensive oral evaluation — new or established patient $25.20 D0160 Detailed and extensive oral evaluation — problem focused, by

report $21.00

D0170 Re‑evaluation — limited, problem focused (established patient; not post‑operative visit)

$21.00

D0180 Comprehensive periodontal evaluation — new or established patient

$21.00

Pre-diagnostic services D0190 Screening of a patient $12.60 D0191 Assessment of a patient $12.60

Diagnostic imaging D0210 Intraoral — complete series of radiographic images $45.00 D0220 Intraoral — periapical frst radiographic image $12.00 D0230 Intraoral — periapical each additional radiographic image $5.00 D0240 Intraoral — occlusal radiographic image $12.00 D0250 Extra‑oral — 2D projection radiographic image created using a

stationary radiation source, and detector $19.00

D0270 Bitewing — 1 radiographic image $11.00 D0272 Bitewings — 2 radiographic images $17.00 D0273 Bitewings — 3 radiographic images $20.50 D0274 Bitewings — 4 radiographic images $24.00 D0277 Vertical bitewings — 7 to 8 radiographic images $45.00 D0290 Posterior‑anterior or lateral skull and facial bone survey

radiographic image $19.00

D0330 Panoramic radiographic image $37.00

Oral pathology laboratory D0472 Accession of tissue, gross examination, preparation and

transmission of written report $59.00

D0473 Accession of tissue, gross and microscopic examination, preparation and transmission written report

$59.00

D0474 Accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report

$59.00

Risk assessment D0601 Caries risk assessment and documentation, with a fnding of low

risk $3.00

D0602 Caries risk assessment and documentation, with a fnding of moderate risk

$3.00

D0603 Caries risk assessment and documentation, with a fnding of high risk

$3.00

D1000 – D1999 Preventive Dental prophylaxis D1110 Prophylaxis — adult $43.20 D1120 Prophylaxis {child through age 13} $33.60

Topical fuoride treatment (ofce procedure) D1206 Topical application of fuoride varnish $10.80 D1208 Topical application of fuoride — excluding varnish $10.80

Other preventive services D1351 Sealant — per tooth $20.00 D1352 Preventive resin restoration in a moderate to high caries risk

patient — permanent tooth $24.00

Space maintenance (passive appliances) D1510 Space maintainer — fxed — unilateral $115.00 D1515 Space maintainer — fxed — bilateral $191.00 D1520 Space maintainer — removable — unilateral $143.00 D1525 Space maintainer — removable — bilateral $187.00

Code Description Allowance

D1555 Removal of fxed space maintainer $23.00

D2000 – D2999 Restorative {Restorative procedures are subject to a 6 month waiting period} Amalgam restorations (including polishing) D2140 Amalgam — 1 surface, primary or permanent $35.00 D2150 Amalgam — 2 surfaces, primary or permanent $43.00 D2160 Amalgam — 3 surfaces, primary or permanent $52.00 D2161 Amalgam — 4 or more surfaces, primary or permanent $58.00

Resin-based composite restorations-direct D2330 Resin‑based composite — 1 surface, anterior $46.00 D2331 Resin‑based composite — 2 surfaces, anterior $46.00 D2332 Resin‑based composite — 3 surfaces, anterior $46.00 D2335 Resin‑based composite — 4 or more surfaces or involving incisal

angle (anterior) $68.00

D2390 Resin‑based composite crown, anterior $114.00 D2391 Resin‑based composite — 1 surface, posterior $47.00 D2392 Resin‑based composite — 2 surfaces, posterior $64.00 D2393 Resin‑based composite — 3 surfaces, posterior $80.00 D2394 Resin‑based composite — 4 or more surfaces posterior $80.00

Inlay/onlay restorations D2510 Inlay — metallic — 1 surface $99.00 D2520 Inlay — metallic — 2 surfaces $133.00 D2530 Inlay — metallic — 3 or more surfaces $150.00 D2542 Onlay — metallic — 2 surfaces $191.00 D2543 Onlay — metallic — 3 surfaces $191.00 D2544 Onlay — metallic — 4 or more surfaces $191.00 D2650 Inlay — resin‑based composite — 1 surface $34.00 D2651 Inlay — resin‑based composite — 2 surfaces $50.00 D2652 Inlay — resin‑based composite — 3 or more surfaces $63.00 D2662 Onlay — resin‑based composite — 2 surfaces $50.00 D2663 Onlay — resin‑based composite — 3 surfaces $63.00 D2664 Onlay — resin‑based composite — 4 surfaces $63.00

Crowns — single restoration only D2710 Crown — resin‑based composite (indirect) $80.00 D2712 Crown — ¾ resin‑based composite (indirect) $80.00 D2720 Crown — Resin with high noble metal $182.00 D2721 Crown — resin with predominantly base metal $163.00 D2722 Crown — resin with noble metal $177.00 D2740 Crown — porcelain/ceramic substrate $192.00 D2750 Crown — porcelain fused to high noble metal $182.00 D2751 Crown — porcelain fused to predominantly base metal $163.00 D2752 Crown — porcelain fused to noble metal $177.00 D2780 Crown — ¾ cast high noble metal $186.00 D2781 Crown — ¾ cast predominantly base metal $186.00 D2782 Crown — ¾ cast noble metal $186.00 D2790 Crown — full cast high noble metal $183.00 D2791 Crown — full cast predominantly base metal $170.00 D2792 Crown — full cast noble metal $178.00 D2794 Crown — titanium $183.00

Other restorative services D2910 Recement or re‑bond inlay, onlay, veneer or partial coverage

restorations $27.00

D2915 Recement or re‑bond indirectly fabricated or prefabricated post and core

$27.00

D2920 Recement or re‑bond crown $27.00 D2921 Reattachment of tooth fragment, incisal edge or cusp $51.00 D2929 Prefabricated porcelain/ceramic crown — primary tooth $90.00 D2930 Prefabricated stainless steel crown — primary tooth $65.00 D2931 Prefabricated stainless steel crown — permanent tooth $74.00

The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in efect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplifcation regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefts, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in brackets { } have been added by Delta Dental for clarifcation.

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Code Description Allowance

D2932 Prefabricated resin crown $80.00 D2933 Prefabricated stainless steel crown with resin window $90.00 D2934 Prefabricated esthetic coated stainless steel crown — primary

tooth $90.00

D2950 Core buildup, including any pins when required $43.00 D2951 Pin retention — per tooth, in addition to restoration $20.00 D2952 Post and core in addition to crown, indirectly fabricated $92.00 D2954 Prefabricated post and core in addition to crown $75.00 D2960 Labial veneer (resin laminate) — chairside $116.00 D2961 Labial veneer (resin laminate) — laboratory $128.00 D2962 Labial veneer (porcelain laminate) — laboratory $161.00 D2980 Crown repair necessitated by restorative material failure $25.00 D2981 Inlay repair necessitated by restorative material failure $25.00 D2982 Onlay repair necessitated by restorative material failure $25.00 D2983 Veneer repair necessitated by restorative material failure $25.00

D3000 – D3999 Endodontics {Endodontic procedures are subject to a 6 month waiting period} Pulpotomy D3220 Therapeutic pulpotomy (excluding fnal restoration) — removal

of pulp coronal to the dentinocemental junction and application of medicament

$38.00

D3221 Pulpal debridement, primary or permanent teeth $41.00 D3222 Partial pulpotomy for apexogenesis — permanent tooth with

incomplete root development $38.00

Endodontic therapy on primary teeth D3230 Pulpal therapy (resorbable flling) — anterior, primary tooth

(excluding fnal restoration) $38.00

D3240 Pulpal therapy (resorbable flling) — posterior, primary tooth (excluding fnal restoration)

$38.00

Endodontic therapy (including treatment plan, clinical procedures and folcare)

low-up

D3310 Endodontic therapy, anterior tooth (excluding fnal restoration) $193.00 D3320 Endodontic therapy, bicuspid tooth (excluding fnal restoration) $227.00 D3330 Endodontic therapy, molar tooth (excluding fnal restoration) $306.00 D3333 Internal root repair of perforation defects $56.00

Endodontic retreatment $193.00 D3346 Retreatment of previous root canal therapy — anterior $227.00 D3347 Retreatment of previous root canal therapy — bicuspid

D3348 Retreatment of previous root canal therapy — molar $306.00

Apexifcation/recalcifcation procedures D3351 Apexifcation/recalcifcation — initial visit (apical closure/calcifc

repair of perforations, root resorption etc.) $56.00

D3352 Apexifcation/recalcifcation — interim medication replacement (apical closure/calcifc repair of perforations, root resorption, pulpal space disinfection, etc.)

$56.00

D3353 Apexifcation/recalcifcation — fnal visit (includes completed root canal therapy — apical closure/calcifc repair of perforations, root resorption, etc)

$56.00

Apicoectomy/periradicular services D3410 Apicoectomy — anterior $240.00 D3421 Apicoectomy — bicuspid (frst root) $257.00 D3425 Apicoectomy — molar (frst root) $294.00 D3426 Apicoectomy (each additional root) $50.00 D3427 Periradicular surgery without apicoectomy $57.00 D3430 Retrograde flling — per root $57.00 D3450 Root amputation — per root $166.00

Other endodontic procedures D3920 Hemisection (including any root removal), not including root

canal therapy $121.00

D4000 – D4999 Periodontics {Periodontic procedures are subject to a 6 month waiting period} Surgical services (including usual postoperative services) D4210 Gingivectomy or gingivoplasty — 4 or more contiguous teeth or

bounded teeth spaces per quadrant $128.00

D4211 Gingivectomy or gingivoplasty — 1 to 3 contiguous teeth or bounded teeth spaces per quadrant

$77.00

D4212 Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth

$77.00

D4240 Gingival fap procedure, including root planing — 4 or more contiguous teeth or bounded teeth spaces per quadrant

$159.00

D4241 Gingival fap procedure, including root planing — 1 to 3 contiguous teeth or bounded teeth spaces per quadrant

$95.00

Code Description Allowance

D4245 Apically positioned fap $159.00 D4249 Clinical crown lengthening — hard tissue $96.00 D4260 Osseous surgery (including elevation of a full thickness fap and

closure) — 4 or more contiguous teeth or tooth bounded spaces per quadrant

$342.00

D4261 Osseous surgery (including elevation of a full thickness fap and closure) — 1 to 3 contiguous teeth or tooth bounded spaces per quadrant

$205.00

D4264 Bone replacement graft — each additional site in quadrant $47.00 D4266 Guided tissue regeneration — resorbable barrier, per site $135.00 D4267 Guided tissue regeneration — nonresorbable barrier, per site

(includes membrane removal) $135.00

D4268 Surgical revision procedure, per tooth $135.00 D4270 Pedicle soft tissue graft procedure $192.00 D4273 Autogenous connective tissue graft procedure (including donor

and recipient surgical sites) frst tooth, implant, or edentulous tooth position in graft

$233.00

D4277 Free soft tissue graft procedure (including recipient and donor surgical sites), frst tooth, implant, or edentulous tooth position in graft

$208.00

D4278 Free soft tissue graft procedure (including recipient and donor surgical sites), each additional contiguous tooth, implant, or edentulous tooth position in same graft site

$156.00

Non-surgical periodontal services D4341 Periodontal scaling and root planing — 4 or more teeth per

quadrant $59.00

D4342 Periodontal scaling and root planing — 1 to 3 teeth per quadrant $35.00 D4355 Full mouth debridement to enable comprehensive evaluation

and diagnosis $36.00

Other periodontal services D4910 Periodontal maintenance $41.00 D4920 Unscheduled dressing change (by someone other than treating

dentist or their staf) $36.00

D5000 – D5899 Prosthodontics, removable {Prosthodontic removable procedures are subject to a 12 month waiting period} Complete dentures (including routine post-delivery care) D5110 Complete denture — maxillary $240.00 D5120 Complete denture — mandibular $241.00 D5130 Immediate denture — maxillary $240.00 D5140 Immediate denture — mandibular $241.00

Partial dentures (including routine post-delivery care) D5211 Maxillary partial denture — resin base (including any

conventional clasps, rests and teeth) $203.00

D5212 Mandibular partial denture — resin base (including any conventional clasps, rests and teeth)

$212.00

D5213 Maxillary partial denture — cast metal framework with resin denture bases (including any conventional clasps, rests and teeth

$287.00

D5214 Mandibular partial denture — cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)

$287.00

D5225 Maxillary partial denture — fexible base (including any clasps, rests and teeth)

$216.00

D5226 Mandibular partial denture — fexible base (including any clasps, rests and teeth)

$216.00

D5281 Removable unilateral partial denture — 1 piece cast metal (including clasps and teeth)

$120.00

Adjustments to dentures D5410 Adjust complete denture — maxillary $13.00 D5411 Adjust complete denture — mandibular $13.00 D5421 Adjust partial denture — maxillary $14.00 D5422 Adjust partial denture — mandibular $14.00

Repairs to complete dentures D5511 Repair broken complete denture base mandibular $31.00 D5512 Repair broken complete denture base mandibular $31.00

D5520 Replace missing or broken teeth — complete denture (each tooth)

$25.00

Repairs to partial dentures D5611 Repair resin partial denture base, mandibular $30.00 D5612 Repair resin partial denture base, maxillary $30.00 D5621 Repair cast partial framework, mandibular $25.00 D5622 Repair cast partial framework, maxillary $25.00 D5630 Repair or replace broken clasp — per tooth $36.00 D5640 Replace broken teeth — per tooth $27.00 D5650 Add tooth to existing partial denture $31.00

The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in efect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplifcation regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefts, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in brackets { } have been added by Delta Dental for clarifcation.

7

8

KPIC Dental

Code Description Allowance Code Description Allowance

D5660 Add clasp to existing partial denture — per tooth $37.00

Denture rebase proceduresD5710 Rebase complete maxillary denture $94.00D5711 Rebase complete mandibular denture $93.00D5720 Rebase maxillary partial denture $89.00D5721 Rebase mandibular partial denture $91.00

Denture reline proceduresD5730 Reline complete maxillary denture (chairside) $46.00D5731 Reline complete mandibular denture (chairside) $45.00D5740 Reline maxillary partial denture (chairside) $45.00D5741 Reline mandibular partial denture (chairside) $47.00D5750 Reline complete maxillary denture (laboratory) $70.00D5751 Reline complete mandibular denture (laboratory) $70.00D5760 Reline maxillary partial denture (laboratory) $71.00D5761 Reline mandibular partial denture (laboratory) $71.00Interim prosthesisD5820 Interim partial denture (maxillary) $85.00D5821 Interim partial denture (mandibular) $85.00Other removable prosthetic servicesD5850 Tissue conditioning — maxillary $25.00D5851 Tissue conditioning — mandibular $24.00D5863 Overdenture — complete maxillary $240.00D5864 Overdenture — partial maxillary $287.00D5865 Overdenture — complete mandibular $241.00D5866 Overdenture — partial mandibular $287.00

D6200 – D6999 Prosthodontics, fixedEach retainer and each pontic constitutes a unit in a fixed partial denture {Fixed prosthodontic procedures are subject to a 6 month waiting period}Fixed partial denture ponticsD6210 Pontic — cast high noble metal $171.00D6211 Pontic — cast predominantly base metal $138.00D6212 Pontic — cast noble metal $168.00D6214 Pontic — titanium $171.00D6240 Pontic — porcelain fused to high noble metal $176.00D6241 Pontic — porcelain fused to predominantly base metal $155.00D6242 Pontic — porcelain fused to noble metal $170.00D6250 Pontic — resin with high noble metal $176.00D6251 Pontic — resin with predominantly base metal $155.00D6252 Pontic — resin with noble metal $170.00

Fixed partial denture retainers — inlays/onlaysD6545 Retainer — cast metal for resin bonded fixed prosthesis $88.00D6549 Resin retainer — for resin bonded fixed prosthesis $88.00D6602 Retainer inlay — cast high metal, 2 surfaces $121.00D6603 Retainer inlay — cast high metal, 3 or more surfaces $135.00D6604 Retainer inlay — cast predominantly base metal, 2 surfaces $121.00D6605 Retainer inlay — cast predominantly base metal, 3 or more

surfaces$135.00

D6606 Retainer inlay — cast noble metal, 2 surfaces $121.00D6607 Retainer inlay — cast noble metal, 3 or more surfaces $135.00D6610 Retainer onlay — cast high noble metal, 2 surfaces $288.00D6611 Retainer onlay — cast high noble metal, 3 or more surfaces $288.00D6612 Retainer onlay — cast predominantly base metal, 2 surfaces $288.00D6613 Retainer onlay — cast predominantly base metal, 3 or more

surfaces$288.00

D6614 Retainer onlay — cast noble metal, 2 surfaces $288.00D6615 Retainer onlay — cast noble metal, 3 or more surfaces $288.00D6624 Retainer inlay — titanium $135.00D6634 Retainer onlay — titanium $288.00

Fixed partial denture retainers — crownsD6720 Retainer crown — resin with high noble metal $180.00D6721 Retainer crown — resin with predominantly base metal $161.00D6722 Retainer crown — resin with noble metal $175.00D6750 Retainer crown — porcelain fused to high noble metal $181.00D6751 Retainer crown — porcelain fused to predominantly base metal $161.00D6752 Retainer crown — porcelain fused to noble metal $175.00D6780 Retainer crown — ¾ cast high noble metal $181.00D6781 Retainer crown — ¾ cast predominantly base metal $181.00D6782 Retainer crown — ¾ cast noble metal $181.00D6790 Retainer crown — full cast high noble metal $180.00D6791 Retainer crown — full cast predominantly base metal $159.00D6792 Retainer crown — full cast noble metal $175.00D6794 Retainer crown — titanium $180.00

D6930 Recement or re‑bond fixed partial denture $33.00D6940 Stress breaker $38.00D6980 Fixed partial denture repair necessitated by restorative material

failure$50.00

D7000 – D7999 Oral and maxillofacial surgery{The folllowing procedures are subject to a 6 month waiting period} Extractions(includes local anesthesia, suturing, if needed, and routine postoperative care)D7111 Extraction, coronal remnants — deciduous tooth $20.00D7140 Extraction, erupted tooth or exposed root (elevation and/or

forceps removal)$39.00

Surgical extractions (includes local anesthesia, suturing, if needed, and routine postoperative care)D7210 Surgical removal of erupted tooth requiring removal of

bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

$74.00

D7220 Removal of impacted tooth — soft tissue $90.00D7230 Removal of impacted tooth — partially bony $117.00D7240 Removal of impacted tooth — completely bony $134.00D7250 Surgical removal of residual tooth roots (cutting procedure) $78.00

Other surgical proceduresD7260 Oroantral fistual closure $225.00D7261 Primary closure of a sinus perforation $225.00D7270 Tooth reimplantation and/or stabilization of accidentally evulsed

or displaced tooth$132.00

D7272 Tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization)

$98.00

D7280 Surgical access of unerupted tooth $176.00D7285 Incisional biopsy of oral tissue — hard (bone, tooth) $136.00D7286 Incisional biopsy of oral tissue — soft $108.00

Alveoloplasty — surgical preparation of ridge for denturesD7310 Alveoloplasty in conjunction with extractions — per quadrant $59.00D7311 Alveoloplasty in conjunction with extractions — 1 to 3 teeth or

tooth spaces, per quadrant$36.00

D7320 Alveoloplasty not in conjunction with extractions — per quadrant $96.00D7321 Alveoloplasty not in conjunction with extractions — 1 to 3 teeth

or tooth spaces, per quadrant$58.00

VestibuloplastyD7340 Vestibuloplasty — ridge extension (secondary epithelialization) $82.00D7350 Vestibuloplasty — ridge extension (including soft tissue grafts,

muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)

$218.00

Surgical excision of intra-osseous lesionsD7450 Removal of benign odontogenic cyst or tumor — lesion diameter

up to 1.25 cm$131.00

D7451 Removal of benign odontogenic cyst or tumor — lesion diameter greater than 1.25 cm

$273.00

Excision of bone tissueD7471 Removal of lateral exostosis (maxilla or mandible) $162.00D7472 Removal of torus palatinus $162.00D7473 Removal of torus mandibularis $162.00

Surgical incisionD7510 Incision and drainage of abscess — intraoral soft tissue $48.00

Other repair proceduresD7960 Frenulectomy — also known as frenectomy or frenotomy —

separate procedure not incidental to another procedure$115.00

D7970 Excision of hyperplastic tissue — per arch $88.00D7971 Excision of pericoronal gingiva $43.00

D9000 – D9999 Adjunctive general servicesUnclassified treatmentD9110 Palliative (emergency) treatment of dental pain‑minor procedure $41.00

AnesthesiaD9222 Deep sedation/general anesthesia ‑ first 15 minutes $36.00D9223 Deep sedation/general anesthesia — each 15 subsequent minute

increment$36.00

Professional visitsD9310 Consultation — diagnostic service provided by dentist or

physician other than requesting dentist or physician$43.00

D9430 Office visit for observation (during regularly scheduled hours) — no other services performed

$24.00

D9440 Office visit — after regularly scheduled hours $49.00

The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in brackets { } have been added by Delta Dental for clarification.

KPIC Dental

Code Description Allowance

Drugs D9610 Therapeutic parenteral drug, single administration $6.00 D9612 Therapeutic parenteral drugs, two or more administrations,

diferent medications $6.00

Miscellaneous services D9930 Treatment of complications (post‑surgical) — unusual

circumstances, by report $19.00

D9951 Occlusal adjustment — limited $32.00 D9995 Teledentistry‑synchronous; real‑time encounter No

Copay D9996 Teledentistry‑asynchronous; information stored and forwarded to

dentist for subsequent review No

Copay

The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in efect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplifcation regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefts, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in brackets { } have been added by Delta Dental for clarifcation.

9

KPIC Dental

How to enroll in KPIC’s Dental Insurance Plan1. Complete the enrollment form on page 11, or you

also have the option to enroll online by visiting dentalinfo.biz/kpic_enrollment.html. If you are already a Kaiser Permanente member, please include a copy of your Kaiser Permanente ID card. If you are not yet a Kaiser Permanente member, please include a copy of your Medical Enrollment Form (Form SF 2809). You must be a Federal member of Kaiser Permanente to enroll.

2. Sign the form to authorize automatic payment from your checking, savings or credit union account. Be sure to enclose a voided blank check or deposit form from this account. Call your bank to obtain the automatic deposit routing number and write the number on the payment authorization form.

3. Return the first month’s payment and enrollment materials by December 21, 2021, to:

KPIC Federal Employee Dental Insurance Plan Wolfpack Insurance Services, Inc. P.O. Box 720 Belmont, CA 94002-0720

4. If your payment and enrollment materials are received by KPIC’s Administrator by December 21, 2021, your effective date of coverage (including your eligible dependents) will be January 1, 2021.

Monthly rates for calendar year 2021

KPIC Dental Insurance Plan Monthly premium*

1 person $35.38

2 persons $62.71

3 or more persons $94.26

* Good through December 31, 2021

Payment of monthly chargesThe dental coverage described in this brochure will not become effective until KPIC or its Administrator receives the initial premium from the eligible Federal Employee. The due date for subsequent premiums is the 10th day of each month. The Insured agrees to pay subsequent premiums no later than 31 days following the premium due date, unless the Insured has given notice requesting termination of dental coverage under the Certificate in accordance with the Termination section of the Certificate. The Insured will be responsible for the payment of the pro rata premium for the time dental coverage under the Certificate was in force during the 31‑day grace period.

BillingTo ensure timely processing of your benefits and claim payments, it is necessary that premiums be paid during the month prior to the coverage month. There are two payment options.

You may choose to have your monthly premiums deducted from your checking, savings or credit union account on the 10th of each month prior to the coverage month (e.g., April dues will be deducted on March 10). Please complete the Automatic Payment Authorization form on page 12 of this brochure.

If you do not have a checking, savings or credit union account, you may submit payments via a personal check, money order, etc. When completing the enrollment form, write DIRECT PAY across the top of page 12, “Automatic Payment Authorization.” You will be sent monthly invoices to submit with your premium payments. Premiums must be paid by the 10th of each month prior to the coverage month.

10

11

Notes

KPIC Dental

KPIC Dental

Enrollment form

Instructions: Please complete this Group Dental Enrollment form and return a signed copy with your first month’s payment by December 21, 2021 to Wolfpack Insurance Services Inc., P.O. Box 720, Belmont, CA 94002-0720.

Kaiser Permanente Insurance Company Oakland, California

Dental PPO enrollment

Enrollment information: Failure to accurately complete the questions on the enrollment form may delay the effective date of your coverage under the KPIC Dental Insurance Plan.

Full name

Social security number or 10‑digit Kaiser Permanente medical record number

Mailing address

City, state, zip

Phone number

Male Female Date of birth

Please list eligible dependents to be covered in addition to yourself:

Spouse Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Enrollment — Coverage not elected below will be assumed refused if not specifically refused.

Yes, I would like to enroll in the Kaiser Permanente Insurance Company (KPIC) Dental PPO Plan for Federal Employees. I understand that enrollment is voluntary. By electing to enroll, I agree to participate in the KPIC Trust (and/or any successor Trust), which holds the KPIC Dental Policy. I understand that to be eligible for the Plan, I must be enrolled along with any of my dependents to be covered, in Kaiser Permanente’s Traditional HMO Plan for Federal Enrollees. I further understand that my continued eligibility, and that of my covered dependents, is contingent on our continued enrollment in Kaiser Permanente’s Traditional HMO Plan for Federal Enrollees. I also understand that some covered dental services are subject to waiting periods. I certify that to the best of my knowledge and belief, any information disclosed on this enrollment form, is accurate and that my answers are correct, true and complete.

No, I do not wish to participate. I understand that I will not be entitled to any benefits under the KPIC Dental Plan and will not be able to enroll until the next annual renewal period. (Coverage not elected will be assumed refused, even if not specifically refused.)

Signature of enrollee Date

KPIC — Enroll — 9793 (rev. 08/19)

12

KPIC Dental

Automatic payment authorization

Banking information: Checking account Savings account Credit union account

Routing transit number (RTN) (The first two numbers of the RTN must be 01 through 12 or 21)

Account number (Verify this number with your bank)

Branch name

Phone number Branch number

Automatic Payment Authorization — Please enclose a voided check or preprinted deposit slip from the account checked.

I (we) hereby authorize Delta Dental/Wolfpack Insurance Services, Inc. to charge the applicable monthly dues for 12 months of dental coverage to my account designated above. I understand that coverage will become and remain effective only if there are sufficient funds at the time of the deduction. I agree to comply with the terms as outlined in the certificate of insurance. This authority is to remain in full force and effect until I notify Delta Dental in writing 30 days prior to termination. (My bank is authorized to make corrections if any should be necessary.)

Signature of enrollee Date

Signature of spouse Date

To enroll in the KPIC DENTAL insurance plan, please complete the enrollment form in this brochure (page 11) and enclose the first month’s payment payable to Wolfpack Insurance Services, Inc. Return the enrollment form and the first month’s payment by December 21, 2021 to Wolfpack Insurance Services Inc., P.O. Box 720, Belmont, CA 94002-0720.

Note: Please enclose a voided check or preprinted deposit slip from the account checked. Staple it in the space below. Use only a check that corresponds to the banking information you have provided.

Payment instructions: Payments are due retroactively to the month you and/or dependents enrolled in the Kaiser Federal Employee Dental Plan plus one month in advance. After payment and application are received, the first automatic payment will occur on the 10th of the following month and each month thereafter.

James Smith 122 Main St. Anyplace, NY 10000

123

PAY TO THE ORDER OF

DOLLARS

$

ANYPLACE BANKAnyplace, NY 10000

For

ı: 1 2 0 0 0 0 0 0 5 ı: 1 2 3 4 5 6 7 8 9 0 ||. 1 2 3

Routing transitnumber

Accountnumber

Date

00-0000/0000

Attachvoidedcheck or depositsliphere

13

DeltaCare® USA

DeltaCare® USA

One of your non‑FEHB Dental benefit options, DeltaCare USA, is provided by Delta Dental of California, and administered by Delta Dental Insurance Company.

With DeltaCare USA, you select a conveniently located network dentist to provide dental care for you and your family. You pay a set copayment or, for some services, no copayment. There are no deductibles and no claim forms to worry about.

The dues for calendar year 2021 are listed below:

Type Monthly* Quarterly*

Self only $14.26 $42.77

Self and 1 party $23.87 $71.60

Self and 2 or more $36.18 $108.53

* Good through December 31, 2021

These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all eligible enrollees and family members of this Plan.

Note: This is only a brief summary of the program. A Combined Policy and Disclosure Form stating the terms of your program will be sent to you upon enrollment.

Please read the following information so you will know how to get dental care under the DeltaCare USA program.

About DeltaCare USAThe DeltaCare USA program is an HMO dental plan that focuses on preventing dental problems and assuring the delivery of quality dental care.

Delta Dental of California has contracted with a network of Contract Dentists within the state of California. A listing of these offices is included for you in the back of this brochure, or you may go to deltadentalins.com to search for a conveniently located network dentist. The network of dental offices is composed of established dental practices.

Who can joinAs a Federal member of Kaiser Permanente, you are eligible to join the DeltaCare USA program.

Your eligible dependents include your lawful spouse and dependent children from birth to 26 years old, including stepchildren and children placed with you for adoption or foster care. A child 26 years of age or older may continue to be eligible as a dependent if incapable of self‑support due to a mental or physical disability that commenced prior to age 26, provided that the person is chiefly dependent upon the eligible member, and Delta Dental receives notice of the disability.

Emergency servicesDental emergencies are covered up to a maximum of $100.00 per emergency, per Enrollee, less applicable copayment(s).

No claim formsThe dental location you choose provides all primary dental services. There are no claim forms to complete or percentage of usual charges for you to pay.

No deductiblesWith the DeltaCare USA program, there are no required deductibles to pay, so your benefits begin immediately.

No dollar limit of dental benefitsNo annual maximum, except for accidental injury.

Pre-existing condition restrictionsPre‑existing conditions are not excluded in the DeltaCare USA program. Exception: work in progress.

Prepaid program saves on dental costsYour out‑of‑pocket savings could be substantial. You know the exact cost prior to treatment, allowing you to predict future dental expenses.

When you enroll in this program, you are enrolling for a minimum of 12 consecutive months. This does not apply if your employment is terminated.

14

DeltaCare® USA

Quality review of dental providersOn‑site audits of participating dental locations ensure that established standards of quality are maintained.

Specialty servicesThe DeltaCare USA program offers services in dental specialty areas. These include periodontics (treatment of diseased gums and bone), endodontics (root canal therapy) and oral surgery procedures. Specialty services must be referred by the assigned Contract Dentist and some procedures may require preauthorization. If an enrollee is assigned to a dental school clinic for specialist services, those services may be provided by a dentist, a dental instructor, a clinician or a dental student under the supervision of a dentist.

The DeltaCare USA program provides benefits for listed dental procedures (subject to the provisions, limitations and exclusions shown in the Combined Policy and Disclosure Form) if care is provided by your assigned Contract Dentist.

When you enroll in DeltaCare USA, you select a participating dental office from the DeltaCare USA Network directory to take care of dental needs for you and your family. After you have enrolled, you will receive an Combined Policy and Disclosure Form booklet that fully describes the benefits of your dental program, a welcome letter and a DeltaCare USA membership card. The welcome letter will have the address and telephone number of your participating network dentist. To receive all necessary dental care covered by the program, simply call your selected dental office to make an appointment.

Remember to always contact your assigned Contract Dentist. With the exception of certain Emergency Dental Services or Urgent Dental Services, treatment received other than from the enrollee’s assigned Contract Dentist or not prior authorized by Delta Dental will not be covered under the DeltaCare USA program.

Limitations of benefits (partial list)• Prophylaxis is limited to two treatments at no cost in any

12 consecutive months; additional treatments are availablewith a $27 patient copayment.

• Full upper and/or lower dentures are not to exceed oneeach in any five‑year period.

• Replacement of partial dentures within any five‑yearperiod is not covered unless necessary due to naturaltooth loss where the addition or replacement of teeth tothe existing partial is not feasible.

• Denture relines are limited to one per denture during any12 consecutive months.

• Periodontal treatments (root planing/subgingivalcurettage) are limited to five quadrants during any 12consecutive months.

• Bitewing x‑rays are limited to not more than one series offour films in any six‑month period.

• Full mouth x‑rays are limited to one set every 24consecutive months.

• Sealants are limited to noncarious, nonrestoredpermanent first and second molars through age 15.

Exclusions (partial list)The following services are not covered.

• General anesthesia and the services of a specialanesthesiologist.

• Cosmetic dental care.

• Dental conditions arising out of and due to the enrollee’semployment or for which Workers’ Compensation ispayable. Services which are provided to the enrollee bystate government or agency thereof, or are providedwithout cost to the enrollee by any municipality, countyor other subdivisions.

• Dental services performed in a hospital and relatedhospital fees.

• Loss or theft of fixed and removable prosthetics (crowns,bridges, full or partial dentures).

• Dental expenses incurred in connection with any dentalprocedure started after termination of eligibility ofcoverage.

• Any service that is not specifically listed as a coveredprocedure.

• Dental expenses incurred in connection with any dentalprocedure started prior to the enrollee’s eligibility.Example: teeth prepared for crowns, root canals inprogress, orthodontics.

• Congenital malformations.

• Dispensing of drugs not normally supplied in a dentaloffice.

• Cases in which, in the professional judgment of theattending dentist, a satisfactory result cannot be obtainedor where the prognosis is poor or guarded.

• Dental services received from any dental office other thanthe assigned dental office unless expressly authorizedin writing by Delta Dental or as cited under “EmergencyDental Services.”

• Prophylactic removal of impactions (asymptomaticnonpathological).

• “Consultations” for noncovered services.

• Implant placement or removal, appliances placed on, orservices associated with, implants.

Orthodontic limitations and exclusions (partial list)• Orthodontic treatment must be provided by a member of

the orthodontic network.

15

16

DeltaCare® USA

• Program benefits cover 24 months of usual andcustomary orthodontic treatment.

• If your coverage is terminated for any reason, andyou are receiving any orthodontic treatment at thetime, your copayment shall be $2, 300 for dependentchildren to age 19 (and $2, 500 for covered adults anddependent adult children) and be prorated over thenumber of months to completion of the treatment.Terms and conditions are arranged between you and theorthodontist.

• A consultation fee may be charged if treatment is notrequired, or if you elect not to start treatment after adiagnosis and consultation have been completed.

• Pre‑, mid‑ and post‑treatment records (cephalometricx‑rays, tracings, photographs and study models) areexcluded.

• Retreatment of orthodontic cases is excluded.

• Lost, stolen or broken appliances are excluded.

• Orthodontic treatment in progress is limited to newDeltaCare USA enrollees who, at the time of their originaleffective date, are in active treatment started under theirprevious employer sponsored dental plan, as long as theycontinue to be eligible under the DeltaCare USA program.Active treatment means tooth movement has begun.Enrollees are responsible for all copayments and feessubject to the provisions of their prior dental plan. DeltaDental is financially responsible only for amounts unpaidby the prior dental plan for qualifying orthodontic cases.

DeltaCare® USA

Schedule A Description of Benefits and Copayments

The benefits shown below are performed as deemed appropriate by the assigned Contract Dentist subject to the limitations and exclusions of the

program. Please refer to Schedule B of the Combined Policy and Disclosure Form for further clarification of benefits. Enrollees should discuss all

treatment options with their assigned Contract Dentist prior to services being rendered.

Text that appears in brackets { } below is specifically intended to clarify the delivery of benefits under the DeltaCare USA program and is not to be

interpreted as CDT 2021 procedure codes, descriptors or nomenclature that are under copyright by the American Dental Association. The American

Dental Association may periodically change CDT codes or definitions. Such updated codes, descriptors and nomenclature may be used to describe these

covered procedures in compliance with federal legislation. Procedure Codes, limitations and exclusions with age restrictions listed in Schedule A and

Schedule B are subject to exceptions based on medical necessity.

Code Description Enrollee pays

D0100-D0999 DiagnosticD0120 Periodic oral evaluation ‑ established patient No CostD0140 Limited oral evaluation ‑ problem focused No CostD0145 Oral evaluation for a patient under three years of age and

counseling with primary caregiverNo Cost

D0150 Comprehensive oral evaluation ‑ new or established patient No CostD0160 Detailed and extensive oral evaluation ‑ problem focused, by

reportNo Cost

D0170 Re‑evaluation ‑ limited, problem focused (established patient; not post‑operative visit)

No Cost

D0171 Re‑evaluation ‑ post‑operative office visit No CostD0180 Comprehensive periodontal evaluation ‑ new or established

patientNo Cost

D0190 Screening of a patient No CostD0191 Assessment of a patient No CostD0190 Screening of a patient No CostD0191 Assessment of a patient No CostD0230 Intraoral — periapical each additional radiographic image $5.00D0240 Intraoral — occlusal radiographic image $12.00D0250 Extra‑oral — 2D projection radiographic image created using a

stationary radiation source, and detector$19.00

D0270 Bitewing — 1 radiographic image $11.00D0272 Bitewings — 2 radiographic images $17.00D0273 Bitewings — 3 radiographic images $20.50D0274 Bitewings — 4 radiographic images $24.00D0277 Vertical bitewings — 7 to 8 radiographic images $45.00D0290 Posterior‑anterior or lateral skull and facial bone survey

radiographic image$19.00

D0330 Panoramic radiographic image $37.00D0419 Assessment of salivary flow by measurement ‑ 1 every 12 months No CostD0460 Pulp vitality tests No CostD0470 Diagnostic casts No CostD0472 Accession of tissue, gross examination, preparation and

transmission of written reportNo Cost

D0473 Accession of tissue, gross and microscopic examination, preparation and transmission of written report

No Cost

D0474 Accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report

No Cost

D0601 Caries risk assessment and documentation, with a finding of low risk ‑ 1 every 12 months

No Cost

D0602 Caries risk assessment and documentation, with a finding of moderate risk ‑ 1 every 12 months

No Cost

D0603 Caries risk assessment and documentation, with a finding of high risk ‑ 1 every 12 months

No Cost

D0701 Panoramic radiographic image ‑ image capture only No CostD0702 2‑D cephalometric radiographic image ‑ image capture only No CostD0703 2‑D oral/facial photographic image obtained intra‑orally or

extra‑orally ‑ image capture onlyNo Cost

D0704 3‑D photographic image ‑ image capture only No CostD0705 Extra‑oral posterior dental radiographic image ‑ image capture

onlyNo Cost

D0706 Intraoral ‑ occlusal radiographic image ‑ image capture only No CostD0707 Intraoral ‑ periapical radiographic image ‑ image capture only No CostD0708 Intraoral ‑ bitewing radiographic image ‑ image capture only No CostD0709 Intraoral ‑ complete series of radiographic images ‑ image

capture onlyNo Cost

D0999 Unspecified diagnostic procedure, by report ‑ includes office visit, per visit (in addition to other services)

$10.00

Code Description Enrollee pays

D1000-D1999 PreventiveD1110 Prophylaxis cleaning ‑ adult ‑ 2 D1110, D1120 or D4346per 12

month periodNo Cost

D1110 Additional prophylaxis cleaning - adult (within the 6 month period)

$27.00

D1120 Prophylaxis cleaning ‑ child ‑ 2 D1110, D1120 or D4346 per 12 month period

No Cost

D1120 Additional prophylaxis cleaning - child (within the 6 month period)

$27.00

D1206 Topical application of fluoride varnish ‑ child to age 19; 2 D1206 or D1208 per 12 month period

No Cost

D1208 Topical application of fluoride ‑ excluding varnish ‑ child to age 19; 2 D1206 or D1208 per 12 month period

No Cost

D1330 Oral hygiene instructions No CostD1351 Sealant ‑ per tooth ‑ limited to permanent molars through age 15 $15.00D1352 Preventive resin restoration in a moderate to high caries risk

patient ‑ permanent tooth ‑ limited to permanent molars through age 15

$15.00

D1353 Sealant repair ‑ per tooth ‑ limited to permanent molars through age 15

$15.00

D1354 Interim caries arresting medicament application ‑ per tooth ‑ child to age 19; 2 per 12 month period

No Cost

D1510 Space maintainer ‑ fixed ‑ unilateral ‑ per quadrant $65.00D1516 Space maintainer ‑ fixed ‑ bilateral, maxillary $65.00D1517 Space maintainer ‑ fixed ‑ bilateral, mandibular $65.00D1520 Space maintainer ‑ removable ‑ unilateral ‑ per quadrant $65.00D1526 Space maintainer ‑ removable ‑ bilateral, maxillary $65.00D1527 Space maintainer ‑ removable ‑ bilateral, mandibular $65.00D1551 Re‑cement or re‑bond bilateral space maintainer ‑ maxillary $20.00D1552 Re‑cement or re‑bond bilateral space maintainer ‑ mandibular $20.00D1553 Re‑cement or re‑bond unilateral space maintainer ‑ per

quadrant$20.00

D1556 Removal of fixed unilateral space maintainer ‑ per quadrant $20.00D1557 Removal of fixed bilateral space maintainer ‑ maxillary $20.00D1558 Removal of fixed bilateral space maintainer ‑ mandibular $20.00D1575 Distal shoe space maintainer ‑ fixed, unilateral ‑ per quadrant ‑

child to age 9$65.00

D2000-D2999 Restorative{Includes polishing, all adhesives and bonding agents, indirect pulp capping, bases, liners and acid etch procedures.}D2140 Amalgam ‑ one surface, primary or permanent $27.00D2150 Amalgam ‑ two surfaces, primary or permanent $32.00D2160 Amalgam ‑ three surfaces, primary or permanent $37.00D2161 Amalgam ‑ four or more surfaces, primary or permanent $50.00D2330 Resin‑based composite ‑ one surface, anterior $75.00D2331 Resin‑based composite ‑ two surfaces, anterior $80.00D2332 Resin‑based composite ‑ three surfaces, anterior $80.00D2335 Resin‑based composite ‑ four or more surfaces or involving

incisal angle (anterior)$80.00

D2390 Resin‑based composite crown, anterior $60.00D2391 Resin‑based composite ‑ one surface, posterior 5, 12 OptionalD2392 Resin‑based composite ‑ two surfaces, posterior 5, 12 OptionalD2393 Resin‑based composite ‑ three surfaces, posterior 5, 12 OptionalD2394 Resin‑based composite ‑ four or more surfaces, posterior 5, 12 OptionalD2510 Inlay ‑ metallic ‑ one surface 5, 11 OptionalD2520 Inlay ‑ metallic ‑ two surfaces 5, 11 OptionalD2530 Inlay ‑ metallic ‑ three or more surfaces 5, 11 Optional

Procedures not listed above are not covered; however, may be available at the Contract Dentist’s “filed fees.” “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Care at 800‑422‑4234. The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This Schedule A represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that the Policy or Amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Schedule, Delta Dental’s administration of Benefits, Limitations and Exclusions under this plan will at all times be based on the current version of CDT whether or not a revised Schedule B is provided. Notes in brackets { } type have been added by Delta Dental for clarification.

17

18

Code Description Enrollee pays

D2542 Onlay ‑ metallic ‑ two surfaces 5, 11 OptionalD2543 Onlay ‑ metallic ‑ three surfaces 5, 11 OptionalD2544 Onlay ‑ metallic ‑ four or more surfaces 5, 11 OptionalD2610 Inlay ‑ porcelain/ceramic ‑ one surface 5, 11 OptionalD2620 Inlay ‑ porcelain/ceramic ‑ two surfaces 5, 11 OptionalD2630 Inlay ‑ porcelain/ceramic ‑ three or more surfaces 5, 11 OptionalD2642 Onlay ‑ porcelain/ceramic ‑ two surfaces 5, 11 OptionalD2643 Onlay ‑ porcelain/ceramic ‑ three surfaces 5, 11 OptionalD2644 Onlay ‑ porcelain/ceramic ‑ four or more surfaces 5, 11 OptionalD2650 Inlay ‑ resin‑based composite ‑ one surface 5, 11 OptionalD2651 Inlay ‑ resin‑based composite ‑ two surfaces 5, 11 OptionalD2652 Inlay ‑ resin‑based composite ‑ three or more surfaces 5, 11 OptionalD2662 Onlay ‑ resin‑based composite ‑ two surfaces 5, 11 OptionalD2663 Onlay ‑ resin‑based composite ‑ three surfaces 5, 11 OptionalD2664 Onlay ‑ resin‑based composite ‑ four or more surfaces 5, 11 OptionalD2710 Crown ‑ resin‑based composite (indirect) 6, 11 $125.00D2712 Crown ‑ 3/4 resin‑based composite (indirect) 6, 11 $125.00D2720 Crown ‑ resin with high noble metal 2, 6, 11 $180.00D2721 Crown ‑ resin with predominantly base metal 6, 11 $180.00D2722 Crown ‑ resin with noble metal 6, 11 $180.00D2740 Crown ‑ porcelain/ceramic 6, 11 $275.00D2750 Crown ‑ porcelain fused to high noble metal 2, 6, 11 $275.00D2751 Crown ‑ porcelain fused to predominantly base metal 6, 11 $275.00D2752 Crown ‑ porcelain fused to noble metal 6, 11 $275.00D2753 Crown ‑ porcelain fused to titanium and titanium alloys $275.00D2780 Crown ‑ 3/4 cast high noble metal 2, 11 $250.00D2781 Crown ‑ 3/4 cast predominantly base metal 11 $250.00D2782 Crown ‑ 3/4 cast noble metal 11 $250.00D2790 Crown ‑ full cast high noble metal 2, 11 $250.00D2791 Crown ‑ full cast predominantly base metal 11 $250.00D2792 Crown ‑ full cast noble metal 11 $250.00D2794 Crown ‑ titanium and titanium alloys 2, 11 $275.00D2910 Re‑cement or re‑bond inlay, onlay, veneer or partial coverage

restoration$20.00

D2915 Re‑cement or re‑bond indirectly fabricated or prefabricated post and core

$20.00

D2920 Re‑cement or re‑bond crown $20.00D2921 Reattachment of tooth fragment, incisal edge or cusp (anterior) $80.00D2928 Prefabricated porcelain/ceramic crown ‑ permanent tooth $60.00D2929 Prefabricated porcelain/ceramic crown ‑ primary tooth ‑ anterior $60.00D2930 Prefabricated stainless steel crown ‑ primary tooth $60.00D2931 Prefabricated stainless steel crown ‑ permanent tooth $60.00D2932 Prefabricated resin crown ‑ anterior primary tooth $60.00D2933 Prefabricated stainless steel crown with resin window ‑ anterior

primary tooth$60.00

D2940 Protective restoration $15.00D2941 Interim therapeutic restoration ‑ primary dentition $15.00D2949 Restorative foundation for an indirect restoration $25.00D2950 Core buildup, including any pins when required $25.00D2951 Pin retention ‑ per tooth, in addition to restoration $25.00

D2952 Post and core in addition to crown, indirectly fabricated ‑ includes canal preparation 2

$90.00

D2953 Each additional indirectly fabricated post ‑ same tooth ‑ includes canal preparation 2

$90.00

D2954 Prefabricated post and core in addition to crown ‑ base metal post; includes canal preparation

$50.00

D2957 Each additional prefabricated post ‑ same tooth‑ base metal post; includes canal preparation

$50.00

D2980 Crown repair necessitated by restorative material failure $45.00

D2981 Inlay repair necessitated by restorative material failure $45.00

D2982 Onlay repair necessitated by restorative material failure $45.00

D2983 Veneer repair necessitated by restorative material failure $45.00

D2990 Resin infiltration of incipient smooth surface lesions ‑ limited to permanent molars through age 15

$15.00

D3000-D3999 Endodontics

D3110 Pulp cap ‑ direct (excluding final restoration) $12.00

D3120 Pulp cap ‑ indirect (excluding final restoration) $12.00D3220 Therapeutic pulpotomy (excluding final restoration) ‑ removal of

pulp coronal to the dentinocemental junction and application of medicament

$45.00

Code Description Enrollee pays

D3221 Pulpal debridement, primary and permanent teeth $45.00

D3222 Partial pulpotomy for apexogenesis ‑ permanent tooth with incomplete root development

$45.00

D3230 Pulpal therapy (resorbable filling) ‑ anterior, primary tooth (excluding final restoration)

$45.00

D3240 Pulpal therapy (resorbable filling) ‑ posterior, primary tooth (excluding final restoration)

$45.00

D3310 Root canal ‑ endodontic therapy, anterior tooth (excluding final restoration) 3

$150.00

D3320 Root canal ‑ endodontic therapy, premolar tooth (excluding final restoration) 3

$200.00

D3330 Root canal ‑ endodontic therapy, molar tooth (excluding final restoration) 3

$250.00

D3346 Retreatment of previous root canal therapy ‑ anterior 3 $200.00

D3347 Retreatment of previous root canal therapy ‑ premolar 3 $250.00

D3348 Retreatment of previous root canal therapy ‑ molar 3 $300.00

D3351 Apexification/recalcification ‑ initial visit (apical closure/calcific repair of perforations, root resorption, etc.)

$40.00

D3410 Apicoectomy ‑ anterior 3 $200.00

D3421 Apicoectomy ‑ premolar (first root) 3 $200.00

D3425 Apicoectomy ‑ molar (first root) 3 $200.00

D3426 Apicoectomy (each additional root) 3 $50.00

D3430 Retrograde filling ‑ per root 3 $50.00D3450 Root amputation, per root ‑ not covered in conjunction with a

hemisection 3 $50.00

D3471 Surgical repair of root resorption – anterior $200.00

D3472 Surgical repair of root resorption – premolar $200.00

D3473 Surgical repair of root resorption – molar $200.00

D3501 Surgical exposure of root surface without apicoectomy or repair of root resorption ‑ anterior

$200.00

D3502 Surgical exposure of root surface without apicoectomy or repair of root resorption – premolar

$200.00

D3503 Surgical exposure of root surface without apicoectomy or repair of root resorption – molar

$200.00

D4000-D4999 Periodontics{Includes preoperative and postoperative evaluations and treatment under a local anesthetic.}D4210 Gingivectomy or gingivoplasty ‑ four or more contiguous teeth

or tooth bounded spaces per quadrant$200.00

D4211 Gingivectomy or gingivoplasty ‑ one to three contiguous teeth or tooth bounded spaces per quadrant

$50.00

D4212 Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth

$50.00

D4240 Gingival flap procedure, including root planing ‑ four or more contiguous teeth or tooth bounded spaces per quadrant

$250.00

D4241 Gingival flap procedure, including root planing ‑ one to three contiguous teeth or tooth bounded spaces per quadrant

$250.00

D4260 Osseous surgery (including elevation of a full thickness flap and closure) ‑ four or more contiguous teeth or tooth bounded spaces per quadrant

$400.00

D4261 Osseous surgery (including elevation of a full thickness flap and closure) ‑ one to three contiguous teeth or tooth bounded spaces per quadrant

$400.00

D4341 Periodontal scaling and root planing ‑ four or more teeth per quadrant ‑ limited to 5 quadrants during any 12 consecutive months

$50.00

D4342 Periodontal scaling and root planing ‑ one to three teeth per quadrant ‑ limited to 5 quadrants during any 12 consecutive months

$50.00

D4346 Scaling in presence of generalized moderate or severe gingival inflammation ‑ full mouth, after oral evaluation ‑ 2 D1110, D1120 or D4346 per 12 month period

No Cost

D4355 Full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit ‑ limited to 1 treatment in any 12 consecutive months

$15.00

D4910 Periodontal maintenance ‑ limited to 2 treatments each12 month period

$15.00

D4921 Gingival irrigation ‑ per quadrant No Cost

D5000-D5899 Prothodontics (removable)

D5110 Complete denture ‑ maxillary 4, 8 $350.00D5120 Complete denture ‑ mandibular 4, 8 $350.00

DeltaCare® USA

Procedures not listed above are not covered; however, may be available at the Contract Dentist’s “filed fees.” “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Care at 800‑422‑4234. The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This Schedule A represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that the Policy or Amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Schedule, Delta Dental’s administration of Benefits, Limitations and Exclusions under this plan will at all times be based on the current version of CDT whether or not a revised Schedule B is provided. Notes in brackets { } type have been added by Delta Dental for clarification.

DeltaCare® USA

Code Description Enrollee pays

D5130 Immediate denture ‑ maxillary 4, 8 $450.00

D5140 Immediate denture ‑ mandibular 4, 8 $450.00

D5211 Maxillary partial denture ‑ resin base (including retentive/clasping materials, rests, and teeth) 4, 8

$300.00

D5212 Mandibular partial denture ‑ resin base (including retentive/clasping materials, rests, and teeth) 4, 8

$300.00

D5213 Maxillary partial denture ‑ cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth) 4, 8

$375.00

D5214 Mandibular partial denture ‑ cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth) 4, 8

$375.00

D5221 Immediate maxillary partial denture ‑ resin base (including retentive/clasping materials, rests and teeth)

$300.00

D5222 Immediate mandibular partial denture ‑ resin base (including retentive/clasping materials, rests and teeth)

$300.00

D5223 Immediate maxillary partial denture ‑ cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)

$375.00

D5224 Immediate mandibular partial denture ‑ cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)

$375.00

D5282 Removable unilateral partial denture ‑ one piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary

$150.00

D5283 Removable unilateral partial denture ‑ one piece cast metal (including retentive/clasping materials, rests, and teeth),mandibular

$150.00

D5284 Removable unilateral partial denture ‑ one piece flexible base (including retentive/clasping materials, rests, and teeth)‑ per quadrant

$150.00

D5286 Removable unilateral partial denture ‑ one piece resin (including retentive/clasping materials, rests, and teeth) ‑ per quadrant

$150.00

D5410 Adjust complete denture ‑ maxillary 4 $20.00

D5411 Adjust complete denture ‑ mandibular 4 $20.00

D5421 Adjust partial denture ‑ maxillary 4 $20.00

D5422 Adjust partial denture ‑ mandibular 4 $20.00

D5511 Repair broken complete denture base, mandibular $45.00

D5512 Repair broken complete denture base, maxillary $45.00

D5520 Replace missing or broken teeth ‑ complete denture (each tooth) $15.00

D5611 Repair resin partial denture base, mandibular $40.00

D5612 Repair resin partial denture base, maxillary $40.00

D5621 Repair cast partial framework, mandibular $60.00

D5622 Repair cast partial framework, maxillary $60.00

D5630 Repair or replace broken retentive/clasping materials ‑ per tooth $20.00

D5640 Replace broken teeth ‑ per tooth $15.00

D5650 Add tooth to existing partial denture $15.00

D5660 Add clasp to existing partial denture ‑ per tooth $20.00

D5710 Rebase complete maxillary denture 13 $150.00

D5711 Rebase complete mandibular denture 13 $150.00

D5720 Rebase maxillary partial denture 13 $150.00

D5721 Rebase mandibular partial denture 13 $150.00

D5730 Reline complete maxillary denture (chairside) 13 $40.00

D5731 Reline complete mandibular denture (chairside) 13 $40.00

D5740 Reline maxillary partial denture (chairside) 13 $40.00

D5741 Reline mandibular partial denture (chairside) 13 $40.00

D5750 Reline complete maxillary denture (laboratory) 13 $150.00

D5751 Reline complete mandibular denture (laboratory) 13 $150.00

D5760 Reline maxillary partial denture (laboratory) 13 $150.00

D5761 Reline mandibular partial denture (laboratory) 13 $150.00D5820 Interim partial denture (including retentive/clasping materials,

rests, and teeth), maxillary ‑ limited to initial placement of interim partial denture /stayplate to replace extracted anterior teeth during healing 4

$180.00

D5821 Interim partial denture (including retentive/claspingmaterials, rests, and teeth), mandibular ‑ limited to initial placement of interim partial denture /stayplate to replace extracted anterior teeth during healing 4

$180.00

D5850 Tissue conditioning, maxillary 4, 13 $30.00D5851 Tissue conditioning, mandibular 4, 13 $30.00

Code Description Enrollee pays

D6200-D6999 Prosthodontics, fixed{each retainer and each pontic constitutes a unit in a fixed partial denture [bridge]}D6210 Pontic ‑ cast high noble metal 2, 9 $240.00D6211 Pontic ‑ cast predominantly base metal 9 $240.00D6212 Pontic ‑ cast noble metal 9 $240.00D6240 Pontic ‑ porcelain fused to high noble metal 2, 6, 9 $275.00D6241 Pontic ‑ porcelain fused to predominantly base metal 6, 9 $275.00D6242 Pontic ‑ porcelain fused to noble metal 6, 9 $275.00D6243 Pontic ‑ porcelain fused to titanium and titanium alloys $275.00D6245 Pontic ‑ porcelain/ceramic 5, 9 OptionalD6250 Pontic ‑ resin with high noble metal 2, 6, 9 $180.00D6251 Pontic ‑ resin with predominantly base metal 6, 9 $180.00D6252 Pontic ‑ resin with noble metal 6, 9 $180.00D6545 Retainer ‑ cast metal for resin bonded fixed prosthesis 6, 9 $150.00D6549 Retainer ‑ for resin bonded fixed prosthesis $150.00D6600 Retainer inlay ‑ porcelain/ceramic, two surfaces 5, 9 Optional

D6601 Retainer inlay ‑ porcelain/ceramic, three or more surfaces 5, 9 Optional

D6602 Retainer inlay ‑ cast high noble metal, two surfaces 5, 9 Optional

D6603 Retainer inlay ‑ cast high noble metal, three or more surfaces 5, 9 OptionalD6604 Retainer inlay ‑ cast predominantly base metal, two surfaces 5, 9 OptionalD6605 Retainer inlay ‑ cast predominantly base metal, three or more

surfaces 5, 9 Optional

D6606 Retainer inlay ‑ cast noble metal, two surfaces 5, 9 OptionalD6607 Retainer inlay ‑ cast noble metal, three or more surfaces 5, 9 OptionalD6608 Retainer onlay ‑ porcelain/ceramic, two surfaces 5, 9 OptionalD6609 Retainer onlay ‑ porcelain/ceramic, three or more surfaces 5, 9 Optional

D6610 Retainer onlay ‑ cast high noble metal, two surfaces 5, 9 OptionalD6611 Retainer onlay ‑ cast high noble metal, three or more surfaces 5, 9 OptionalD6612 Retainer onlay ‑ cast predominantly base metal, two surfaces 5, 9 OptionalD6613 Retainer onlay ‑ cast predominantly base metal, three or more

surfaces 5, 9 Optional

D6614 Retainer onlay ‑ cast noble metal, two surfaces 5, 9 Optional

D6615 Retainer onlay ‑ cast noble metal, three or more surfaces 5, 9 Optional

D6720 Retainer crown ‑ resin with high noble metal 2, 6, 9 $180.00

D6721 Retainer crown ‑ resin with predominantly base metal 6, 9 $180.00

D6722 Retainer crown ‑ resin with noble metal 6, 9 $180.00

D6740 Retainer crown ‑ porcelain/ceramic 5, 9 Optional

D6750 Retainer crown ‑ porcelain fused to high noble metal 2, 6, 9 $275.00

D6751 Retainer crown ‑ porcelain fused to predominantly base metal 6, 9 $275.00

D6752 Retainer crown ‑ porcelain fused to noble metal 6, 9 $275.00

D6753 Retainer crown ‑ porcelain fused to titanium and titanium alloys $275.00

D6780 Retainer crown ‑ 3/4 cast high noble metal 2, 9 $240.00

D6781 Retainer crown ‑ 3/4 cast predominantly base metal 9 $240.00

D6782 Retainer crown ‑ 3/4 cast noble metal 9 $240.00

D6784 Retainer crown 3/4 ‑ titanium and titanium alloys $240.00

D6790 Retainer crown ‑ full cast high noble metal 2, 9 $240.00

D6791 Retainer crown ‑ full cast predominantly base metal 9 $240.00

D6792 Retainer crown ‑ full cast noble metal 9 $240.00

D6930 Re‑cement or re‑bond fixed partial denture $45.00

D6940 Stress breaker 9 $60.00D6980 Fixed partial denture repair necessitated by restorative material

failure$45.00

D7000-D7999 Oral and Maxillofacial Surgery{Includes preoperative and postoperative evaluations and treatment under a local anesthetic.}D7111 Extraction, coronal remnants ‑ primary tooth $35.00

D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal)

$35.00

D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated

$45.00

D7220 Removal of impacted tooth ‑ soft tissue $75.00

D7230 Removal of impacted tooth ‑ partially bony $100.00

D7240 Removal of impacted tooth ‑ completely bony $150.00

D7241 Removal of impacted tooth ‑ completely bony, with unusual surgical complications

$150.00

D7250 Removal of residual tooth roots (cutting procedure) $100.00

Procedures not listed above are not covered; however, may be available at the Contract Dentist’s “filed fees.” “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Care at 800‑422‑4234. The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This Schedule A represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that the Policy or Amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Schedule, Delta Dental’s administration of Benefits, Limitations and Exclusions under this plan will at all times be based on the current version of CDT whether or not a revised Schedule B is provided. Notes in brackets { } type have been added by Delta Dental for clarification.

19

DeltaCare® USA

Code Description Enrollee pays

D7251 Coronectomy ‑ intentional partial tooth removal $150.00

D7286 Incisional biopsy of oral tissue ‑ soft ‑ does not include histopathologic examination or other pathology laboratory procedures

$10.00

D7310 Alveoloplasty in conjunction with extractions ‑ four or more teeth or tooth spaces, per quadrant

$50.00

D7311 Alveoloplasty in conjunction with extractions ‑ one to three teeth or tooth spaces, per quadrant

$50.00

D7320 Alveoloplasty not in conjunction with extractions ‑ four or more teeth or tooth spaces, per quadrant

$75.00

D7321 Alveoloplasty not in conjunction with extractions ‑ one to three teeth or tooth spaces, per quadrant

$75.00

D7471 Removal of lateral exostosis (maxilla or mandible) ‑ per site $50.00

D7510 Incision and drainage of abscess ‑ intraoral soft tissue $50.00

D7922 Placement of intra‑socket biological dressing to aid in hemostasis or clot stabilization, per site

No Cost

D7961 Buccal/labial frenectomy (frenulectomy) $25.00

D7962 Lingual frenectomy (frenulectomy) $25.00

D9000-D9999 Adjunctive General ServicesUnclassified treatmentD9110 Palliative (emergency) treatment of dental pain ‑ minor

procedure$35.00

D9211 Regional block anesthesia No Cost

D9212 Trigeminal division block anesthesia No Cost

D9215 Local anesthesia in conjunction with operative or surgical procedures

No Cost

D9219 Evaluation for moderate sedation, deep sedation or general anesthesia

No Cost

D9310 Consultation ‑ diagnostic service provided by dentist or physician other than requesting dentist or physician

No Cost

D9311 Consultation with a medical health care professional No Cost

D9430 Office visit for observation (during regularly scheduled hours) ‑ no other services performed

No Cost

D9440 Office visit ‑ after regularly scheduled hours $50.00

D9932 Cleaning and inspection of removable complete denture, maxillary

No Cost

D9933 Cleaning and inspection of removable complete denture, mandibular

No Cost

D9934 Cleaning and inspection of removable partial denture, maxillary No Cost

Comprehensive orthodontic treatment of the adult dentition ‑ adults, including dependent adult children age 19 and older 1

$1,800.00

D9935 Cleaning and inspection of removable partial denture, mandibular

No Cost

D9990 Certified translation or sign‑language services ‑ per visit No Cost

D9991 Dental case management ‑ addressing appointment compliance barriers

No Cost

D9992 Dental case management ‑ care coordination No Cost

D9995 Teledentistry ‑ synchronous; real‑time encounter No Cost

D9996 Teledentistry ‑ asynchronous; information stored and forwarded to dentist for subsequent review

No Cost

D9997 Dental case management ‑ Patients with special Health Care Needs

No Cost

FOOTNOTES1 Listed Copayment covers up to 24 months of active orthodontic treatment

excluding the services listed for D8999 (Start-up fee). Beyond 24 months of active treatment, an additional monthly fee of $75.00 applies.

2 Base or noble metal is the benefit. High noble metal (precious), if used, will be charged to the Enrollee at the additional maximum cost to the Enrollee of $100.00 per tooth. If an indirectly fabricated post and core is made of high noble metal, an additional fee up to $100.00 per tooth will be charged for the upgrade. This charge also applies to a titanium crown.

3 A Benefit for permanent teeth only.4 Includes after delivery adjustments and tissue conditioning, if needed, for the first

six months after placement, if the Enrollee continues to be eligible and the service is provided at the Contract Dentist’s facility where the denture was originally delivered.

5 Optional is defined as any alternative procedure presented by the Contract Dentist that satisfies the same dental need as a covered procedure, is chosen by the Enrollee, and is subject to the Limitations and Exclusions of the program. The applicable charge to the Enrollee is the difference between the Contract Dentist’s “filed fee” for the Optional procedure and the “filed fee” for the covered procedure, plus any applicable Copayment. “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding the DHMO program should be directed to Delta Dental’s Customer Service department at 800-422-4234.

6 Porcelain and other tooth-colored materials on molars are considered a material upgrade with a maximum additional charge to the Enrollee of $150.00.

7 Includes adjustments and/or office visits up to 24 months. After 24 months, a monthly fee of $75.00 applies.

8 Replacement is subject to a limitation requiring the existing denture to be 5+ years old.

9 Replacement is subject to a limitation requiring the existing bridge to be 5+ years old.

10 In the event comprehensive orthodontic treatment is not required or is declined by the Enrollee, a fee of $25.00 will apply. The Enrollee is also responsible for any incurred orthodontic diagnostic record fees.

11 Replacement is subject to a limitation requiring the existing restoration to be 5+ years old.

12 An amalgam is the Benefit.13 Limited to 1 per denture during any 12 consecutive months.

Procedures not listed above are not covered; however, may be available at the Contract Dentist’s “filed fees.” “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Care at 800‑422‑4234. The above CDT codes and nomenclature are copyright of the American Dental Association. Note: Some nomenclature has been abbreviated. This Schedule A represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that the Policy or Amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Schedule, Delta Dental’s administration of Benefits, Limitations and Exclusions under this plan will at all times be based on the current version of CDT whether or not a revised Schedule B is provided. Notes in brackets { } type have been added by Delta Dental for clarification.

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21

Schedule B

Limitation of benefits1. Full mouth x‑rays are limited to one set every 24

consecutive months and include any combination of periapicals, bitewings and/or panoramic film.

2. Bitewing x‑rays are limited to not more than one series of four films in any six month period.

3. Diagnostic casts are limited to aid in diagnosis by the Contract Dentist for covered benefits.

4. If a biopsy is preauthorized by Delta Dental for an oral surgeon, then examination of the resulting biopsy specimen is covered under codes D0472, D0473 or D0474 and available at no additional cost.

5. Prophylaxis or periodontal maintenance is limited to two procedures each 12 month period.

6. Benefits for sealants include the application of sealants only to permanent first and second molars with no decay, with no restorations and with the occlusal surface intact, for first molars and second molars through age 15. Benefits for sealants do not include the repair or replacement of a sealant on any tooth within three years of its application.

7. A filling is a benefit for the removal of decay, for minor repairs of tooth structure or to replace a lost filling.

8. A crown is a benefit when there is insufficient tooth structure to support a filling or to replace an existing crown that is non‑functional or non‑restorable and meets the five year limitation (see Limitation #12).

9. A covered metallic inlay, onlay, crown or fixed partial denture (bridge) using base or noble metal is available for listed Copayment(s). If the Enrollee elects to have high noble metal used instead, the maximum additional cost of this material upgrade is $100.00 per tooth or pontic. For an indirectly fabricated post and core, the benefit is for base or noble metal. If the Enrollee elects to have a high noble metal indirectly fabricated post and core instead, the maximum additional cost of this material upgrade is $100.00 per tooth.

10. For molars, a covered crown or unit of a fixed partial denture (bridge) is a full cast metal restoration without porcelain or other tooth‑colored material. If the Enrollee elects to have porcelain, porcelain‑fused‑to‑metal, resin or resin‑with‑metal used instead, the maximum additional cost for this tooth‑colored material upgrade is $150.00 per molar.

DeltaCare® USA

11. If a porcelain margin is also chosen by the Enrollee for a covered porcelain‑fused‑to‑metal crown, the maximum additional cost for this laboratory upgrade is $75.00.

12. The replacement of an existing inlay, onlay, crown, fixed partial denture (bridge) or a removable full or partial denture is covered when:

a. The existing restoration/bridge/denture is no longer functional and cannot be made functional by repair or adjustment, and

b. Either of the following:‑ The existing non‑functional restoration/bridge/

denture was placed five or more years prior to its replacement, or

‑ If an existing partial denture is less than five years old, but must be replaced by a new partial denture due to the loss of a natural tooth, which cannot be replaced by adding another tooth to the existing partial denture.

13. A direct or indirect pulp cap is a benefit only on a vital permanent tooth with an open apex or a vital primary tooth.

14. With the exception of pulp caps and pulpotomies, endodontic procedures (e.g. root canal therapy, apicoectomy, retrofill, etc.) are only a benefit on a permanent tooth.

15. A therapeutic pulpotomy on a permanent tooth is limited to palliative treatment when the Contract Dentist is not performing root canal therapy.

16. Periodontal scaling and root planing are limited to five quadrants during any 12 month period.

17. Full mouth debridement (gross scale) is limited to one treatment in any 12 month period.

18. The benefit for the replacement of a missing posterior tooth (or teeth) is a removable partial denture. Coverage for the placement of a fixed partial denture (bridge) is optional except in the following cases:

‑ The sole tooth to be replaced in the arch is a permanent anterior tooth, provided it is not in connection with a partial denture on the same arch; or

‑ The new bridge would replace an existing, non‑functional bridge utilizing the same abutment teeth, with no additional abutments or pontics with the exception of posterior cantilever bridges (see Limitation #12); or

‑ The abutment teeth are not being crowned solely for the purpose of supporting a pontic (each abutment tooth to be crowned must meet Limitation #8).

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19. Relines, tissue conditioning and rebases are limited to one per denture during any 12 consecutive months.

20. Interim partial dentures (stayplates), in conjunction with fixed or removable appliances, are limited to:

‑ The replacement of extracted anterior teeth for adults during a healing period when the teeth cannot be added to an existing partial denture or

‑ The replacement of permanent tooth/teeth for children under 16 years of age.

21. Retained primary teeth shall be covered as primary teeth.

22. Excision of the frenum is a benefit only when it results in limited mobility of the tongue, it causes a large diastema between teeth or it interferes with a prosthetic appliance.

23. Benefits provided by a pediatric Dentist are limited to children through age seven following an attempt by the assigned Contract Dentist to treat the child and upon prior authorization by Delta Dental, less applicable Copayments. Exceptions for medical conditions, regardless of age limitation, will be considered on an individual basis.

24. In cases of accidental injury, benefits available are described in Schedule B, Accident Injury Benefit. Damages to the hard and soft tissues of the oral cavity from normal masticatory (chewing) function, exclusive attrition and normal wear, will be covered as described in Schedules A, Description of Benefits and Copayments; and B, Limitations and Exclusions of Benefits.

25. Benefits for a soft tissue management program are limited to those parts, which are listed covered services listed on Schedule A. If an Enrollee declines non‑covered services within a soft tissue management program, it does not eliminate or alter other covered benefits.

26. A new removable partial, complete or immediate denture includes after delivery adjustments and tissue conditioning at no additional cost for the first six months after placement if the Enrollee continues to be eligible and the service is provided at the Contract Dentist’s facility where the denture was originally delivered.

27. An Optional procedure is defined as any alternative procedure presented by the Contract Dentist that satisfies the same dental need as a covered procedure, is chosen by the Enrollee, and is subject to the limitations and exclusions of the program. The applicable charge to the Enrollee is the difference between the Contract Dentist’s “filed fees” for the Optional procedure and the “filed fees” for the covered procedure, plus any applicable Copayment for the covered procedure. Optional treatment does not apply when alternative choices are benefits. Optional procedures include:

‑ The use of a tooth‑colored material when restoring a posterior tooth with a filling, inlay or onlay; and

‑ Units in a fixed partial denture (bridge) made of porcelain/ceramic, which is not fused to and supported by underlying cast metal.

28. Porcelain crowns, porcelain fused to metal or resin with metal type crowns are not a benefit for children under 16 years of age. An allowance will be made for a resin crown. (See Limitation #27).

“Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Service department at 800‑422‑4234.

Exclusions of benefits1. Any procedure that is not specifically listed under

Schedule A, Description of Benefits and Copayments.

2. Dental conditions arising out of and due to Enrollee’s employment for which Workers’ Compensation is paid. Services which are provided to the Enrollee by state government or agency thereof, or are provided without cost to the Enrollee by any municipality, county or other subdivision, except as provided in Section 1373(a) of the California Health and Safety Code.

3. All related fees for admission, use, or stays in a hospital, out‑patient surgery center, extended care facility, or other similar care facility.

4. Loss or theft of full or partial dentures, space maintainers, crowns and fixed partial dentures (bridges).

5. Dental expenses incurred in connection with any dental procedures started after termination of eligibility for coverage.

6. Dental expenses incurred in connection with any dental procedure started before the Enrollee’s eligibility with the DHMO program. Examples include: teeth prepared for crowns, root canals in progress, orthodontics.

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7. Congenital malformations (e.g. congenitally missing teeth, supernumerary teeth, enamel and dentinal dysplasias, etc.), except for the treatment of newborn children with congenital defects or birth abnormalities.

8. Dispensing of drugs not normally utilized in the delivery of dental services.

9. Any procedure that in the professional opinion of the Contract Dentist:

a. has poor prognosis for a successful result and reasonable longevity based on the condition of the tooth or teeth and/or surrounding structures, or

b. is inconsistent with generally accepted standards for dentistry.

10. Dental services received from any dental facility other than the assigned Contract Dentist including the services of a dental specialist, unless expressly authorized in writing by Delta Dental or as cited under Emergency Services. To obtain written authorization, the Enrollee should call Delta Dental’s Customer Service department at 800‑422‑4234.

11. Consultations for non‑covered benefits.

12. Implant placement or removal, appliances placed on or services associated with implants, including but not limited to prophylaxis and periodontal treatment.

13. Fixed partial dentures (bridges) for children under 16 years of age.

14. Restorations placed solely due to cosmetics, abrasions, attrition, erosion, restoring or altering vertical dimension, congenital or developmental malformation of teeth.

15. Appliances or restorations necessary to increase vertical dimension, replace or stabilize tooth structure loss by attrition, realignment of teeth, periodontal splinting, gnathologic recordings, equilibration or treatment of disturbances of the temporomandibular joint (TMJ).

16. An initial treatment plan which involves the removal and reestablishment of the occlusal contacts of 10 or more teeth with crowns, onlays, fixed partial dentures (bridges), or any combination of these is considered to be full mouth reconstruction under the DHMO program. Crowns, onlays and fixed partial dentures associated with such a treatment plan are not covered Benefits. This exclusion does not eliminate the benefit for other covered services.

17. Precious metal for removable appliances, metallic or permanent soft bases for complete dentures, porcelain denture teeth, precision abutments for removable partials or fixed partial dentures (overlays, implants, and appliances associated therewith) and personalization and characterization of complete and partial dentures.

18. Extraction of teeth, when teeth are asymptomatic/non‑pathologic (no signs or symptoms of pathology or infection), including but not limited to the removal of third molars and orthodontic extractions.

19. Treatment or extraction of primary teeth when exfoliation (normal shedding and loss) is imminent.

20. Orthodontic treatment must be provided by a licensed dentist. Self‑administered orthodontics are not covered.

21. The removal of fixed orthodontic appliances for reasons other than completion of treatment is not a covered benefit.

Orthodontic limitationsThe DHMO program provides coverage for orthodontic treatment plans provided through Contract Orthodontists. The start‑up fees and the cost to the Enrollee for the treatment plan are listed in Schedule A, Description of Benefits and Copayments and subject to the following:

1. Orthodontic treatment must be provided by a Contract Orthodontist.

2. Benefits cover 24 months of active comprehensive orthodontic treatment. Included is the initial examination, diagnosis, consultation, initial banding, 24 months of active treatment, de‑banding and the retention phase of treatment. The retention phase includes the initial construction, placement and adjustment to retainers and office visits for a maximum of two years.

3. Treatment plans extending beyond 24 months of active treatment, or 24 months of the retention phase of treatment will be subject to a monthly office visit fee to the Enrollee not to exceed $75.00 per month.

4. Should an Enrollee’s coverage be cancelled or terminated for any reason, and at the time of cancellation or termination be receiving any orthodontic treatment, the Enrollee and not Delta Dental will be responsible for payment of any balance due for treatment provided after cancellation or termination. In such a case the Enrollee’s payment shall be based on a maximum of $2,300.00 for covered dependent children to age 19 and $2,500.00 for covered adults and dependent adult children age 19 and older. The amount will be prorated over the number of months to

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24

completion of the treatment and, will be payable by the Enrollee on such terms and conditions as are arranged between the Enrollee and the Contract Orthodontist.

5. If treatment is not required or the Enrollee chooses not to start treatment after the diagnosis and consultation have been completed by the Contract Orthodontist, the Enrollee will be charged a consultation fee of $25.00 in addition to diagnostic record fees.

6. Three recementations or replacements of a bracket/band on the same tooth or a total of five rebracketings/rebandings on different teeth during the covered course of treatment are benefits. If any additional recementations or replacements of brackets/bands are performed, the Enrollee is responsible for the cost at the Contract Orthodontist’s “filed fees.”

7. Comprehensive orthodontic treatment (Phase II) consists of repositioning all or nearly all of the permanent teeth in an effort to make the Enrollee’s occlusion as ideal as possible. This treatment usually requires complete fixed appliances; however, when the Contract Orthodontist deems it suitable, a European or removable appliance therapy may be substituted at the same Copayment amounts as for fixed appliances.

8. Orthodontic treatment in progress is limited to new DHMO Enrollees who, at the time of their original effective date, are in active treatment started under their previous employer sponsored dental plan, as long as they continue to be eligible under the DHMO Program. Active treatment means tooth movement has begun. Enrollees are responsible for all Copayments and fees subject to the provisions of their prior dental plan. Delta Dental is financially responsible only for amounts unpaid by the prior dental plan for qualifying orthodontic cases.

Orthodontic exclusions1. Pre‑, mid‑ and post‑treatment records which include

cephalometric x‑rays, tracings, photographs and study models.

2. Lost, stolen or broken orthodontic appliances.

3. Retreatment of orthodontic cases.

4. Changes in treatment necessitated by accident of any kind, and/or lack of Enrollee cooperation.

5. Surgical procedures incidental to orthodontic treatment.

6. Myofunctional therapy.

7. Surgical procedures related to cleft palate, micrognathia or macrognathia.

8. Treatment related to temporomandibular joint disturbances.

9. Supplemental appliances not routinely used in typical comprehensive orthodontics.

10. Restorative work caused by orthodontic treatment.

11. Phase I orthodontics, as well as activator appliances and minor treatment for tooth guidance and/or arch expansion. Phase I orthodontics is defined as early treatment including interceptive orthodontia prior to the development of late mixed dentition.

12. Extractions solely for the purpose of orthodontics.

13. Transfer after banding has been initiated.

14. Composite bands, lingual adaptation of orthodontic bands and other specialized or cosmetic alternatives to standard fixed and removable orthodontic appliances.

Accident injury benefitsAn accidental injury is damage to the hard and soft tissue of the mouth caused directly and independently of all other causes by external forces. Damage to the hard and soft tissue of the mouth from normal chewing function is covered under Schedule A, Description of Benefits and Copayments.

Delta Dental will pay up to 100 percent of the Contract Dentist’s “filed fees,” for expenses an Enrollee incurs for an accident injury, less any applicable Copayment(s), up to a Maximum of $1,600.00 in any 12 month period.

Accident injury benefits include the following procedure in addition to those listed in Schedule A, Description of Benefits and Copayments.

CODE

D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth and/or alveolus ‑ includes splinting and/or stabilization.

Payment of accident injury benefits is subject to Schedule B, Limitations and Exclusions of Benefits, in addition to the following provisions:

MAXIMUM

Accident injury benefits will be provided for each Enrollee up to a maximum of $1,600.00 in any 12 month period.

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LIMITATION

Accident injury benefits are limited to services provided as a result of an accident which occurred (a) while the Enrollee was covered under the DHMO program, or (b) while the Enrollee was covered under another DHMO program, and if the benefits for the expenses incurred would have been paid if the Enrollee had remained covered under that program.

EXCLUSIONS

In addition to Schedule B, limitations #13, #15, #20, #21, #24 and #28 and exclusions #1‑9, #11‑15, #18 and #19, the following exclusions apply:

1. Prophylaxis.

2. Extra‑oral grafts (grafting of tissues from outside the mouth to oral tissue).

3. Replacement of existing restorations due to decay.

4. Orthodontic services (treatment of malalignment of teeth and/or jaws).

5. Replacement of existing restorations, crowns, bridges, dentures and other dental or orthodontic appliances damaged by accident injury.

“Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Service department at 800‑422‑4234.

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Notes

DeltaCare® USA

DeltaCare® USA

Enrollment form

Delta Dental of California c/o Delta Dental Insurance Company P.O. Box 660138 Dallas, TX 75266‑0138

Kaiser Permanente Federal Member dental program enrollment

DeltaCare USA

This is a dental HMO program. You and your family must receive all treatment from the DeltaCare USA dental office you select. Please indicate the number of the DeltaCare USA office you have chosen:

#

If you do not select an office, we will select one for you.

Please print

Full name

Social security number or 10‑digit Kaiser Permanente medical record number

Mailing address

City, state, zip

Phone number

Male Female Date of birth Marital status: Single Married

Rates for calendar year 2021

Type Monthlyautomatic deduction

Quarterly payment by check

1 person $14.26 $42.77

2 persons $23.87 $71.60

3 or more persons $36.18 $108.53

Type of enrollment: 1 person 2 persons Three or more persons

Please list eligible dependents to be covered in addition to yourself:

Spouse Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

Child Male Female Date of birth

27

DeltaCare® USA

Payment

Payment option: Monthly (automatic) Quarterly (payment by check)

Automatic Payment Authorization

I (we) hereby authorize Delta Dental to charge the applicable monthly dues for dental coverage to my account designated below. I understand that coverage will only become and remain effective if there are sufficient funds at the time of the deduction. I understand eligibility begins the first of the month following my initial deduction. This authority to deduct funds from my account is to remain in full force and effect until I notify Delta Dental in writing 30 Days prior to termination. I also understand there cannot be any lapse of coverage in a 12‑month period from the time of my enrollment. I agree to comply with the terms as outlined in the Combined Policy and Disclosure Form. (My bank is authorized to make corrections if any should be necessary.)

Banking information: Checking account Savings account (Please enclose a voided check or preprinted deposit slip from the account checked.)

Routing transit number (RTN) (The first two numbers of the RTN must be 01 through 12 or 21)

Account number (Verify this number with your bank)

Bank or savings and loan name

Branch name

City, state, zip

Branch phone number

Signature of enrollee Date

Signature of spouse Date

In accordance with the disclosure requirements of California Health & Safety Code Section 1363(h), this is to advise you that Delta Dental of California’s ratio of health care expense to premiums received for the last calendar year, with respect to the DeltaCare USA Individual Program, was [70.6]%.

Note: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information may be guilty of a felony of the third degree.

James Smith 122 Main St. Anyplace, NY 10000

00-0000/0000

Date

123

PAY TO THE ORDER OF

ANYPLACE BANK Anyplace, NY 10000

For

ı: 1 2 0 0 0 0 0 0 5 ı: Routing transit

number

.1 2 3 4 5 6 7 8 9 0 ||

Account number

1 2 3

$ DOLLARS

Attach voided check or deposit slip here

(rev. 08/16)

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DeltaCare® USA

DeltaCare USA Participating Dental Offices/ Consultorios dentales de la red DeltaCare USA — California

Please indicate the number of the office you have selected on the DeltaCare USA enrollment form.

Additional dental offices will be added as required. If any office is closed

to further enrollment, Delta Dental reserves the right to assign you

another dental office as close to your home as possible. All members of

your family must be treated at the same facility.

Language assistance: Language capabilities are self‑reported by the

individual dental facilities and not independently verified by Delta Dental.

If an enrollee requires language assistance to enable communication in a

dental setting, Delta Dental will arrange for professional services through

a certified interpretation vendor at no cost to the enrollee.

Atención en otros idiomas: Las habilidades en idiomas son informadas

por las instalaciones dentales individuales y no son verificadas

independientemente por Delta Dental. Si un afiliado requiere ayuda en

otro idioma para poder comunicarse durante la cita dental, Delta Dental

coordinará los servicios profesionales mediante un proveedor certificado

de interpretación sin costo para el afiliado.

Code Language Code Language Code Language Code Language Code Language Code Language

AF Afrikaans CL Creole GR Greek IN Indonesian 14 Mien SM Samoan

AM Armenian HR Croatian HE Hebrew IT Italian PE Persian SP Spanish/Español

AR Arabic CS Czech HI Hindi JA Japanese PL Polish TA Tagalog

KM Cambodian EI East Indian 4 Hmong KO Korean PT Portuguese TH Thai

CA Cantonese FR French HU Hungarian LO Lao RO Romanian TR Turkish

CH Chinese GE German 13 Ilacano 12 Mandarin RU Russian VI Vietnamese

Code Description Code Description

FT Number of full‑time dentists PT Number of part‑time dentists

Code Description

WH Indicates functional accessibility for individuals with limited mobility. Information regarding dental office accessibility for patients with mobility impairments is available by calling Customer Care at 800‑422‑4234.

Please call 800-422-4234 for updates to this list or check the DeltaCare USA Network online Dentist Directory at: deltadentalins.com.

Northern California offices (open)

Alameda#055237 Alameda Landing Dentistry Dental Group 2660 5th St Ste C, 94501510-384-4000(SP)

#042191 Bright Now! Dental‑Alameda 2140 S Shore Ctr, 94501510-214-0253(SP)

Alamo#048222 Alamo Smiles Dental Group 3000 Danville Blvd Ste A, 94507925-820-2688

Albany#164401 Shadan Jabali DDS 1113 Garfield Ave, 94706510-525-6100(SP)

Antelope#016236 Walegra Dental Group 8008 Walerga Rd Ste 100, 95843916-725-4530(HI SP)

Antioch#049760 Bay View Dental 2225 Buchanan Rd Ste G, 94509925-237-3738(SP TA)

#052413 Bright Now! Dental 5867 Lone Tree Way Ste F, 94531925-732-4628(HI SP TA)

#135501 Crossings Dental Care 3379 Deer Valley Rd, 94531925-706-0775(SP TA)

#019985 East Bay Dental 5157 Lone Tree Way, 94531925-777-1719(SP)

#008248 Salam Ghannam DDS 2225 Buchanan Rd Ste A, 94509925-779-1112(SP)

#022462 Samuel S Leung DDS 5117 Lone Tree Way, 94531925-777-9898(CA 12)

#036321 Western Dental Services 2590 Sycamore Dr, 94509925-776-1140(SP)

#041082 Western Dental Services 4518 Lone Tree Way, 94531925-529-8300(SP)

Auburn#062004 Modern Dentistry Of Auburn 185 Palm Ave, 95603530-885-6559

#029835 Sierra Smiles Dental Group 2503 Bell Rd, 95603530-823-3803(SP)

#060735 Smile Time Dental 500 Auburn Folsom Rd Ste 330B, 95603916-984-4224

Belmont#061179 Belmont Plaza Dental Care 390 El Camino Real Ste D, 94002650-631-2893(SP RU)

#045495 Maria Lourdes Yeo DDS 2130 Ralston Ave Ste 1D, 94002650-591-4704

Berkeley#035983 Berkeley Dental 909 University Ave, 94710510-665-6058(KM CH HI)

#028055 Berkeley Hills Dental Group 2320 Woolsey St Ste 312, 94705510-848-8624

#037063 Refresh Dental 3031 Telegraph Ave Ste 136, 94705510-845-2240(CA 12 SP)

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30

#036288 Western Dental Services 115 Berkeley Sq, 94704510-540-8400(SP)

Brentwood#041585 Brentwood Smiles Dental Group 6660 Lone Tree Way Ste 7, 94513925-513-8363(HI SP)

#055082 Lone Tree Dental Group 5421 Lone Tree Way Ste 110, 94513925-605-9393(SP)

#013865 Valora Legaspi DDS 2400 Balfour Rd Ste 301, 94513925-240-5808(CH VI)

Calistoga#035102 Sister Ann Dental Clinic 911 Washington St, 94515707-709-2300(SP)

Cameron Park#053964 Country Club Dental 3222 Royal Dr Ste A, 95682530-677-4457(SP)

Campbell#040128 Brite Dental 281 E Hamilton Ave Ste 2, 95008408-871-9734

#061579 Signature Dental Practice 2505 S Bascom Ave, 95008408-377-8910(SP)

Carmichael#030583 Angel E Soto DDS Inc 6227 Fair Oaks Blvd, 95608916-979-7122(SP)

#058923 Fonda Webber DDS Inc 8329 Fair Oaks Blvd Ste D, 95608916-571-2781(RU)

#043852 Modern Dental Health 5723 Marconi Ave Ste A, 95608916-489-9990(FR HI RU SP)

#016770 Sacramento Dental Group 6611 Coyle Ave, 95608916-965-6250(AM RO RU)

#064437 Star Dental Practice 2447 Mission Ave Ste B, 95608916-333-1875(AR HI SP)

#063244 Western Dental Services Inc 7141 Fair Oaks Blvd, 95608916-488-9700

Castro Valley#064291 Bright Now! Dental‑Castro Valley 20923 Redwood Rd Ste C, 94546510-550-5056

#046614 Castro Valley Smiles Dentistry 3779 E Castro Valley Blvd, 94552510-581-0500(HI KO SP)

Chico#039473 Ampla Health 236 W East Ave Ste H, 95926530-342-6065

#041931 Chico Dental Group 955 East Ave, 95926530-893-5334(SP TA)

#064433 Chico Modern Dentistry 241 W East Ave Ste 1, 95926530-332-8972

#007289 Lakeview Dental Office 2571 California Park Dr Ste 120, 95928530-345-6888(12)

#005531 Smile Makers 2647 Forest Ave, 95928530-879-1888(CA 12 TA)

#036359 Western Dental Services 2471 Cohasset Rd Ste 170, 95926530-894-9040(SP)

#063325 Western Dental Services Inc 1010 Mangrove Ave Ste AB, 95926530-342-7500

Chowchilla#039526 n M Camarena Health Center 300 Prosperity Blvd Bldg B, 93610559-664-4000(SP)

Citrus Heights#041173 Aura Dental Care 6024 San Juan Ave Ste A, 95610916-729-5849(RU)

#011118 Citrus Dental Group 5925 Birdcage Centre Ln Ste D105, 95610916-246-1502(SP)

#137501 Citrus Heights Dental Office 6994 Sunrise Blvd, 95610916-723-8900(HU RO RU SP)

#378601 Madison Square Dental Care 6024 San Juan Ave Ste C, 95610916-728-2888(CA 12 TA VI)

#062418 Smile Time Dental 6406 Sunrise Blvd Ste C, 95610916-984-4224(CA SP TA VI)

Clovis#064217 Aspen Dental 1315 Shaw Ave Ste 102, 93612559-321-0886

#023187 Bright Now! Dental 1420 Shaw Ave Ste 101, 93611559-299-9008(4 SP)

#051123 Clovis Crossing Dental Group 1095 Herndon Ave Ste 102, 93612559-326-5272

#146501 Clovis Gentle Dental 3151 Willow Ave, 93612559-299-9556(SP VI)

#062514 Golden Valley Smiles 1010 Shaw Ave Ste B, 93612559-323-1776

#054707 Ocean Dental Group 1330 Shaw Ave Ste 103, 93612559-325-6161

#036316 Western Dental Services 751 W Shaw Ave, 93612559-323-5500(SP)

Concord#022752 Concord Dental Arts 2222 East St Ste 270, 94520925-689-3500(SP)

#050448 Downtown Concord Dental 2151 Salvio St Ste A1, 94520925-566-8738(SP)

#058899 Galvan Dental Corporation 4375 Clayton Rd Ste D, 94521925-676-6363(SP TA)

#062463 Golden State Smiles 1851 Sutter St, 94520925-827-2798

#010383 Lester Yamashita DDS 2969 Salvio St, 94519925-685-5296(JA SP)

#036323 Western Dental Services 1821 Concord Ave, 94520925-825-8900(SP)

#030033 Willow Pass Dental Care 1255 Willow Pass Rd, 94520925-680-4444(SP VI)

Corcoran#063109 United Health Centers Of The San Joaquin Valley 1209 Whitley Ave, 93212559-992-5020(SP)

Cupertino#026176 I Pro Dental 19705 Stevens Creek Blvd, 95014408-996-7987(12 SP)

Daly City#026261 Bella Lim DDS 7455 El Camino Real Ste C, 94014650-994-4561(SP TA)

#045497 Maria Lourdes Yeo DDS 2055 Gellert Blvd Ste 4, 94015650-754-1300(TA)

#136201 Mouhannad Al‑Majdalani DDS 320 Washington St Apt 105, 94015650-994-1111

#142601 Rodolfo Villasin DMD 341 Westlake Ctr Ste 237, 94015650-756-6211(TA)

#062695 Serramonte Ridge Dental 901 Campus Dr Ste 304, 94015650-756-1900(SP TA)

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31

DeltaCare® USA

Danville#065001 Chris M Vitakes DDS 909 San Ramon Valley Blvd Ste 218, 94526925-553-7761(GR SP)

#062029 Galvan Dental Care 917 San Ramon Valley Blvd Ste 290, 94526925-837-9172(TA 12 SP)

#052988 Ivory Smiles 185 Front St Ste 105, 94526925-588-4444(HI)

#043944 Kai Ming Cai DDS Inc 4018 Blackhawk Plaza Cir, 94506925-736-9860(CA 12)

#057823 Sycamore Valley Dental Group 103 Sycamore Valley Rd W, 94526925-362-1800(AR HI SP TA)

Davis#048144 Davis Smiles Dentistry Dental Group 4515 Fermi Pl Ste 106, 95618530-750-1955(SP)

#015572 Twin Pines Dental 1109 Kennedy Pl Ste 4, 95616530-753-9900(GR SP)

Dublin#050466 Fallon Dental Group 3746 Fallon Rd, 94568925-803-0100(HI)

#063465 Pannu Dental Group 7137 Dublin Blvd Ste A, 94568925-828-6739(CH HI SP TA)

Earlimart#063123 United Health Centers Of The San Joaquin Valley 476 E Washington Ave, 93219661-849-2781(SP)

East Palo Alto#035084 Ravenswood Family Dentistry 1807 Bay Rd, 94303650-289-7700(HI SP)

El Cerrito#029882 Art Dental 10586 San Pablo Ave, 94530510-559-8598(SP VI)

#064284 Bright Now! Dental‑El Cerrito 11430 San Pablo Ave Ste 200, 94530510-253-0049

#061473 Dentists Of El Cerrito Plaza Dental 170 El Cerrito Plz, 94530925-294-0665(SP)

#052788 Lavassani Firoozeh 411 Kearney St, 94530510-527-1742(AR TA)

#085001 Rodney Kim DDS 11100 San Pablo Ave Ste 107, 94530510-233-9022(SP VI)

#036291 Western Dental Services 11299 San Pablo Ave Ste A, 94530510-231-0147(SP)

El Dorado Hills#020322 Green Valley Dental Group & Orthodontics 2205 Francisco Dr Ste 150, 95762916-934-0207(12 SP)

#064384 Orchard Dental Care 4962 Robert J Mathews Pkwy Ste 200, 95762916-542-7316

#059903 Smile Time Dental 3840 El Dorado Hills Blvd Ste 203B, 95762916-984-4224

#056563 Town Center Dental 4355 Town Center Blvd Ste 211, 95762916-939-6777(HI RU SP)

#023580 Younes Jonah Tabrizi DDS Dental Corp 993 Governor Dr Ste 104, 95762916-941-1515(GE)

Elk Grove#016238 Alpha Dental 9045 Bruceville Rd Ste 170, 95758916-683-9080(RU VI)

#038827 Case Dental Group 9381 E Stockton Blvd Ste 116, 95624916-683-2000(CH PE SP TA)

#017469 Cozy Dental 2370 Maritime Dr, 95758916-683-2272(SP)

#038208 Design Dental 5700 Whitelock Pkwy Ste 120, 95757916-714-3344(PT SP)

#022838 Elk Grove Dental Group 9640 Bruceville Rd Ste 101, 95757916-686-9030(HI SP)

#025678 Elk Grove Landing Family Dental 8351 Elk Grove Blvd Ste 300, 95758916-691-6997(HI SP)

#055278 Family Smile Center 9381 E Stockton Blvd Ste 120, 95624916-686-4212(KO)

#058597 Fernandez Dental Office 9320 Elk Grove Blvd Ste 170, 95624916-714-5422(SP VI)

#054675 Grove Dental Group 9727 Elk Grv Florin Rd Ste 155, 95624916-714-7771(SP)

#063844 Laguna Park Dentistry 4827 Laguna Park Dr Ste 1, 95758916-376-7106(PE SP VI)

#044629 Laguna Star Family Dental 5105 Laguna Blvd Ste 4, 95758916-478-0222(HI SP)

#043019 Liberty Family Dental 9401 E Stockton Blvd Ste 215, 95624916-686-9627(CH)

#064185 Luc Dental Care 8101 Laguna Blvd Ste 2, 95758916-684-1922

#058599 Ora Dentistry 2733 Elk Grove Blvd Ste 180, 95758916-975-1000(HI)

#060194 Prestige Dental 8450 Elk Grove Blvd Ste 300, 95758916-478-0343

#062417 Smile Time Dental 9184 E Stockton Blvd Ste B, 95624916-984-4224(CA TA VI)

Fair Oaks#056770 Fair Oaks Quality Dental 11622 Fair Oaks Blvd Ste 103, 95628916-903-7644(SP)

#061791 Madison Oaks Dental 6600 Mercy Ct Ste 200, 95628916-966-6060(HI RU)

#007282 River City Dental Group 8908 Madison Ave Ste A, 95628916-536-5151(SP)

Fairfield#056229 Community Health Clinic Ole 470 Chadbourne Rd Ste A, 94534707-419-8988

#021421 Dr Richard Ramos DMD Inc 3075 Travis Blvd, 94534707-435-9004(SP TA)

#048576 Fairfield Dentists Dental Group 3332 N Texas St Ste C, 94533707-399-9082(SP)

#058727 Galvan Dental Corporation 1500 Oliver Rd Ste F, 94534707-434-8777(SP TA)

32

#137401 Julius Mosley II DDS 1261 Travis Blvd Ste 300, 94533707-421-2161(CH SP VI)

#038816 Marlon C Taasan DMD 1545 N Texas St Ste 309, 94533707-422-6651(SP TA)

#060721 Smile Time Dental 1955 W Texas St Ste 2B, 94533916-984-4224

#062408 Valle Smiles 1955 W Texas St Ste 12, 94533707-428-5400

#036317 Western Dental Services 2440 N Texas St, 94533707-422-4600(HI SP)

#063322 Western Dental Services Inc 1600 Travis Blvd, 94533707-429-4000

Folsom#063019 BSC Dental Smiles 2700 E Bidwell St Ste 300, 95630916-299-9487

#040940 Folsom Hills Dentistry Dental Group 2465 Iron Point Rd Ste 120, 95630916-984-9600(SP)

#050579 Renaissance Family And Cosmetic Dentistry 2180 E Bidwell St Ste 100, 95630916-983-9800(HI)

#054465 Smile Time Dental 2260 E Bidwell St Ste 110, 95630916-984-4224(RU SP TA)

#036292 Western Dental Services 1016 Riley St Ste 1, 95630916-984-4127

Fowler#063135 United Health Centers Of The San Joaquin Valley 106 E Main St, 93625559-834-3973(SP)

Fremont#026181 Advanced Smile Design 39560 Stevenson Pl Ste 117, 94539510-797-8100(HI TA)

#028713 American Dental Group 39624 Mission Blvd, 94539510-573-4743(CH)

#055350 Brookevale Family Dentistry 39236 Argonaut Way, 94538510-739-0701(SP TA)

#1C3701 Dental Care Center 39470 Fremont Blvd, 94538510-745-9222(American Sign Lanugage 12 SP)

#055079 Dr Meenu Giri Family Dentistry 37259 Fremont Blvd, 94536510-790-0700

#025567 Duc Nguyen DDS 39411 Fremont Blvd, 94538510-438-9201(CH SP VI)

#044899 Fremont Dental Excellence 1895 Mowry Ave Ste 120, 94538510-494-8181(GE SP TA)

#003718 Fremont Hills Dental Office 698 Mowry Ave, 94536510-608-6097(TA)

#038174 Gentle Dental 39340 Fremont Blvd, 94538510-651-7700(HI SP TA)

#228101 Hillview Dental Group 40739 Grimmer Blvd, 94538510-651-1440(KM PT SP)

#010706 Rosalie S Geronimo DMD Inc 1956 Driscoll Rd, 94539510-440-1406(TA)

#033018 Shine Dental 39055 Hastings St Ste 203, 94538510-791-3144(HI SP)

#021389 Star Dental 5021 Mowry Ave, 94538510-797-4900(HI SP)

#046655 Western Dental Services Inc 3055 Mowry Ave, 94538510-494-9010(SP)

#061680 Western Dental Services Inc 36416 Fremont Blvd, 94536510-739-3889(SP)

Fresno#064808 Adeniyi Olayinka Akande DDS 2841 Tulare St, 93721559-222-2238

#2C6601 Angels Family Dental 3664 W Shaw Ave, 93711559-277-5800(AR SP)

#056905 Bright Now! Dental 3244 W Shaw Ave Ste A, 93711559-490-0597(CH SP)

#020942 Bright Now! Dental 6680 N Blackstone Ave, 93710559-431-9111

#026525 Bullard Dental Group 323 E Bullard Ave Ste 104, 93710559-439-9990

#054240 Champlain Dentist Dental Group 1193 E Champlain Dr, 93720559-433-6427(SP VI)

#064360 Downtown Dental 2948 Fresno St, 93721559-264-0004(SP)

#056329 Erbe Palafox DDS Inc 4848 N 1st St Ste 106, 93726559-227-6200

#052655 Fig Garden Dental Group 1008 West Shaw Ave Ste 105, 93711559-227-0027(SP)

#142101 First Family Dental 6115 N 1st St Ste 102, 93710559-229-8200(AR SP)

#056509 Gentle Dental Fresno 5690 N Fresno St Ste 101, 93710559-436-3470(SP)

#055773 Geny Ana Reyes Chan DDS Inc 3636 N 1st St Ste 126, 93726559-243-1115

#062516 Golden Valley Smiles 2745 W Shaw Ave Ste 103, 93711559-227-2900

#062517 Golden Valley Smiles 5657 E Kings Canyon Rd Ste 107, 93727559-454-7900

#056381 Hossam El‑Zuhery DDS 5646 N Palm Ave Ste 101, 93704559-431-6626(AR)

#054234 Market Place Smiles Dentistry Dental Group 6623 N Riverside Dr Ste 101, 93722559-547-3120(SP)

#059942 Noel T Paredes DDS 6167 N Fresno St Ste 103, 93710559-824-9524(TA)

#062203 Pearl Dentistry 1265 E Shaw Ave Ste 100, 93710559-224-0103(SP)

#014155 Sam Akande DDS 1902 E Ashlan Ave, 93726559-228-3000(SP)

#127101 Sami Youssef DDS 4755 E Gettysburg Ave Ste 101, 93726559-292-4444(AR SP)

#183701 St George Quality Dental 1515 W Shaw Ave #101, 93711559-227-1700(AR AM RU SP)

#056018 Tower Dental Care 1215 N Del Mar Ave, 93728559-233-5625(SP)

#036320 Western Dental Services 1255 W Shields Ave, 93705559-227-4000(SP)

#045242 Western Dental Services 1255 W Shields Ave, 93705559-227-4000(HI)

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DeltaCare® USA

#036325 Western Dental Services 3077 W Shaw Ave, 93711559-244-5501(SP)

#036301 Western Dental Services 4195 E Shields Ave, 93726559-243-8960(SP)

#036319 Western Dental Services 4901 E Kings Canyon Rd, 93727559-456-1785(AR CH SP)

#063218 Western Dental Services Inc 5776 N Blackstone Ave Ste 104, 93710559-650-1457(SP)

#024652 White & Bright Family Dental 6073 N Fresno St Ste 103, 93710559-432-6384

#042111 Woodward Dental Care 7475 N 1st St Ste 103, 93720559-431-7645(SP VI)

Galt#048648 Galt Dental Group 1067 C St Ste 125, 95632209-744-0463(KO SP VI)

#027139 Sirak Workneh DDS 430 Pine St, 95632209-744-9917(4 RU SP)

Gilroy#057456 Accu Dental 6955 Camino Arroyo Ste 50, 95020408-847-4938(FR HI PE SP)

#047040 City Dental Center 7671 Monterey St Ste C, 95020408-842-5000(SP)

#061846 Gilroy Plaza Dental 6974 Automall Pkwy, 95020408-847-4111(HI SP)

#053122 Western Dental Services 780 1st St, 95020408-337-3620(SP)

Hanford#036358 Western Dental Services 1560 Lacey Blvd #107, 93230559-589-6302

#036586 Western Dental Services 210 N 11th Ave Ste 101, 93230559-585-2170

Hayward#041409 Bright Now! Dental 20483 Hesperian Blvd, 94541510-731-0124(HI SP TA)

#155001 Dental Solutions/Dr Shtulman 19682 Hesperian Blvd Ste 101, 94541510-782-9942(RU SP)

#003967 Fairway Park Dental Office 31111 Mission Blvd, 94544510-477-6887(SP TA)

#040736 Gentle Dental Hayward 24239 Hesperian Blvd, 94545510-926-6460(TA VI SP)

#062416 Golden State Smiles 22755 Foothill Blvd, 94541510-782-4161

#062026 K3 Dental 1320 Apple Ave Ste 202, 94541510-888-9110(HI SP)

#009022 South Hayward Dental 1689 Industrial Pkwy W, 94544510-264-9074(CA PT SP)

#039643 Western Dental Services 123 W Jackson St, 94544510-887-5700(SP)

Hercules#046985 A Noble Smile 500 Alfred Nobel Dr Ste 285, 94547510-741-7041(SP VI)

Hollister#065072 Aspen Dental 1210 East Park St Ste 106, 95023831-902-2829

#064960 Bright Now! Dental ‑ Hollister 1760 Airline Hwy Ste K, 95023831-902-2810

Huron#063113 United Health Centers Of The San Joaquin Valley 16928 11th St, 93234559-945-2541(SP)

Kerman#063189 United Health Centers Of The San Joaquin Valley 517 S Madera Ave, 93630559-846-6330(SP TA)

Kingsburg#046249 H S Mann DDS Inc 1518 Draper St, 93631559-897-4111(SP)

Lathrop#060184 Plume Dental 15366 S Harlan Rd, 95330209-645-0032

Lemoore#063122 United Health Centers Of The San Joaquin Valley 250 E Hanford Armona Rd, 93245559-997-6140(SP)

Lincoln#062365 Bella Vista Dental 825 Twelve Bridges Dr Ste 55, 95648916-543-4400(HI SP)

#023474 Citadel Dental 941 Sterling Pkwy Ste 100, 95648916-408-8585(GE TR)

#015202 Lincoln Hills Family Dental 2295 Fieldstone Dr Ste 100, 95648916-543-0222(HI SP)

#016173 Parkway Dental Group 781 Sterling Pkwy, 95648916-543-7880

#056748 Smile Time Dental 731 Sterling Pkwy Ste 100B, 95648916-984-4224(CA RU SP)

#056768 Tooth Spa Dentistry 831 Sterling Pkwy Ste 130, 95648916-209-3708(TA VI)

Livermore#044891 Alta Vista Dental 3183 Independence Dr, 94551925-292-1459(RU)

#063128 Foothill Dental Care 1984 Railroad Ave Ste B, 94550925-456-7800(SP TA)

#043734 Livermore Smiles Dentistry 4375 1st St, 94551925-294-9288(SP)

#044239 Mint Dental 87 Fenton St Ste 105, 94550925-292-5231(SP VI)

#039163 Smile Line Dentistry 1046 Murrieta Blvd, 94550925-456-7600(HI SP)

#057460 Western Dental Center 2177 Las Positas Ct, 94551925-273-6000(SP)

Lodi#064958 Bright Now! Dental‑lodi 2309 W Kettleman Ln Ste 104, 95242209-371-6911

#062563 Dentists Of Lodi Dental Group 2610 Reynolds Ranch Pkwy Ste 100, 95240707-302-0805(SP)

#062955 Lodi Family Dentistry 525 S Fairmont Ave Ste F, 95240209-369-1051(HI SP)

#037720 Modern Dental And Implants 601 W Kettleman Ln, 95240209-366-1850(SP)

Los Altos#0C0401 Samson Fu‑Keung Lee DDS 763 Altos Oaks Dr Ste 3, 94024650-948-6075(CA 12 SP)

Los Banos#064733 Western Dental Services Inc 1153 W Pacheco Blvd, 93635209-383-2207(SP)

Los Gatos#059614 Harsono Dental Corp 431 Monterey Ave Ste 6, 95030408-354-1717(IN)

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34

#024894 Los Gatos Dental Care 555 Knowles Dr Ste 112, 95032408-370-7733(AR FR SP)

#047160 One Smile Dental 15075 Los Gatos Blvd Ste 100, 95032408-356-2049(HI SP TA)

Madera#055448 Idental Family Dentistry 620 W Yosemite Ave, 93637559-673-7700

#054667 Sams Dental Office 2413 W Cleveland Ave, 93637559-395-4808(SP)

#036342 Western Dental Services 1100 N Gateway Dr, 93637559-661-5120(SP)

#050209 Western Dental Services Inc 1100 N Gateway Dr, 93637559-661-5120

Manteca#065077 Ivory Dental 1148 S Main St, 95337209-249-0123(HI SP)

#022750 Stadium Dental Group 2288 Daniels St, 95337209-456-5610(SP)

#036831 Western Dental Services 1160 W Yosemite Ave, 95337209-624-5160(SP)

#036347 Western Dental Services 1332 E Yosemite Ave, 95336209-823-0219(SP)

Mariposa#062196 Mact Dental Mariposa 5192 Hospital Rd, 95338209-966-0573(SP)

Martinez#042527 Alhambra Dental Group 4040 Alhambra Ave, 94553925-313-9700(AR CH SP TA)

#021489 Bright Now! Dental 1160 Arnold Dr Ste G, 94553925-372-7100(SP)

Mendota#063155 United Health Centers Of The San Joaquin Valley 121 Barboza St, 93640559-655-5000(SP)

Menlo Park#012522 Joseph K Sarkosh DDS 888 Oak Grove Ave Ste 6, 94025650-327-8081(SP)

Merced#055242 Dr Chang Family Dentistry 2448 M St, 95340209-383-0811(12 SP)

#059501 Merced Dental Group 1120 Olivewood Dr, 95348209-325-4395(SP)

#036356 Western Dental Services 1124 W Olive Ave, 95348209-383-5000(SP)

#063326 Western Dental Services Inc 12 W 20th St, 95340209-388-1000

Milpitas#391301 Alexander Galang DDS 830 Hillview Ct Ste 150, 95035408-934-7676

#049648 Milpitas Dental Practice 76 Ranch Dr Bldg C1, 95035408-935-8336(TA)

#065294 Montague Hills Dentistry 991 Montague Expy Ste 211, 95035408-262-9999

#019240 Nisha Dharmani DDS 430 E Calaveras Blvd, 95035408-263-9714(SP)

#048832 Yoo J Kim 40 N Park Victoria Dr Ste D, 95035408-263-0371(KO SP)

Modesto#054210 Aesthetic Dental Designs 1006 H St, 95354209-338-3388(SP TA)

#049583 Afshin Bidgol DMD 2020 Coffee Rd Ste F3, 95355209-526-0676

#064124 Aspen Dental 3900 Sisk Rd Ste O, 95356209-857-3910

#043358 Coffee Dental Group 1130 Coffee Rd Ste 1A, 95355209-523-5991(KO SP)

#046710 Gill Family Dentistry 1518 Coffee Rd Ste B, 95355209-549-1721(HI SP)

#063060 Great Smiles Dental 3219 Mchenry Ave Ste E, 95350209-409-8987(AR HI SP TA)

#020517 Modesto Dental 2225 Plaza Pkwy Ste P1, 95350209-576-8181(SP)

#056239 Modesto Modern Dentistry Dental Group 2103 Mchenry Ave Ste C, 95350209-435-9550

#062721 Modesto Smiles Dentistry Dental Group 3601 Pelandale Ave Ste D1, 95356209-245-0014(SP)

#037885 R Mesbah DDS 1101 Standiford Ave Ste D3, 95350209-571-5429(SP)

#045056 Raymond Nepomuleno DDS Inc 2020 Coffee Rd Ste B4, 95355209-529-5886(SP)

#060936 Suave Dental 3025 Mchenry Ave Ste N, 95350209-527-3990(RU AR SP)

#059508 Wellspring Dental Group 1801 Tully Rd Ste C1, 95350209-526-3370(KO SP)

#038597 Western Dental Services 1720 Hatch Rd, 95351209-538-9550(SP)

#039645 Western Dental Services 2045 W Briggsmore Ave Ste E, 95350209-527-3000(PE SP)

#063220 Western Dental Services Inc 1440 E Hatch Rd Ste 102, 95351209-531-2000(SP)

#046673 Western Dental Services Inc 1705 Prescott Rd, 95350209-572-6045

#063219 Western Dental Services Inc 2605 Coffee Rd Ste 200, 95355209-521-0100(SP)

#061682 Western Dental Services Inc 2900 Standiford Ave Ste 2, 95350209-577-5008(SP)

Monterey#053668 Monterey Dental Center 656 Munras Ave, 93940831-920-2127(AR SP)

Morgan Hill#1C9301 Condit Dental 17020 Condit Rd Ste 180, 95037408-778-4548(SP)

#017147 Morgan Hill Dental Care 18455 Technology Dr, 95037408-778-4838(SP)

#020283 South Valley Dental 15870 Monterey St, 95037408-778-6684(SP VI)

Mountain View#352801 Ahmad Abdollahi DDS 285 South Dr Ste 2, 94040650-988-0787(SP TA)

#060508 Apple Dental 1040 Grant Rd Ste 103, 94040650-336-1313

#018575 Palo Alto Dental Care 327 Moffett Blvd Ste A, 94043650-858-2028(CA 12 SP VI)

#0C8401 San Antonio Dental 530 Showers Dr Ste 3, 94040650-917-8348(CA 12 SP VI)

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DeltaCare® USA

Napa#061990 Alora Dentistry 917 Trancas St, 94558707-226-5533(HI)

#024881 Childrens Mobil Dental Clinic 3448 Villa Ln Ste 102, 94558707-251-2000(SP)

#064254 Ez Smile Family Dental Group 1544 Jefferson St Ste A, 94559707-255-7711(SP)

#063179 Napa Valley Dental Group 2119 Jefferson St, 94559707-257-2400(HI SP)

#063676 Ole Health 300 Hartle Ct, 94559707-254-1775(SP)

#017107 Sister Ann Community Dental 1141 Pear Tree Ln Ste 120, 94558707-258-6128(SP)

#062464 Smile Country Dental 2016 Jefferson St, 94559707-603-4955

#014096 Trancas Dental Group 935 Trancas St Ste 4E, 94558707-257-6277(12 RO SP TA)

#039925 Western Dental Services 1260 Trancas St, 94558707-501-5101(SP)

Newark#031197 All Smile Dental Center 37070 Newark Blvd Ste E, 94560510-790-8268(CA 12)

#056424 Kamini Patel DDS Inc 7200 Jarvis Ave, 94560510-744-9744(HI)

#050190 PBS A Dental Corporation 5910 Thornton Ave Ste B, 94560510-792-4525(SP TA)

#039588 Rosemont Family Dental Care 35124 Newark Blvd, 94560510-796-3441(PT SP TA)

North Highlands#062684 Highland Dental Group 3901 Madison Ave Ste 5, 95660916-999-0183(AR KO SP)

Novato#055009 Marin Community Clinics 6090 Redwood Blvd Ste D, 94945415-448-1500(SP)

#053682 Novato Smiles Dentistry Dental 948 Diablo Ave, 94947415-897-8020(SP)

#064649 Union Dental 5404 Nave Dr, 94949415-234-6261(SP VI)

Oakland#017481 Bay Area Dental 3300 Webster St Ste 907, 94609510-350-8187(RU)

#017551 Bright Now! Dental 8105 Edgewater Dr Ste 250, 94621510-568-6272

#055347 East Bay Family Dentistry 3040 E 9th St Ste D, 94601510-534-0706

#055353 Elegant Smile Dental Center 3301 E 12th St Ste 165, 94601510-533-5500(SP)

#057917 Franklin Dental Care 1624 Franklin St Ste 1220, 94612510-893-4041(CA SP)

#043497 Oakland Smile Center 300 Frank H Ogawa Plz Ste 100, 94612510-893-1923(CH)

#038288 Oakland Smile Dental 8105 Edgewater Dr Ste 124, 94621510-924-7310(PE SP)

#004653 Timothy Han DDS 2710 Telegraph Ave Ste 250, 94612510-839-4106(SP)

#177701 Timothy Han DDS 320 13th St Ste 301, 94612510-839-2045(SP)

#062677 Uptown Dental Group 1708 Franklin St Ste B, 94612510-465-7777(SP)

#036287 Western Dental Services 1530 Broadway, 94612510-251-1000(SP TA VI)

#056412 Western Dental Services Inc 3405 International Blvd, 94601510-469-2012(SP)

Orange Cove#063120 United Health Centers Of The San Joaquin Valley 445 11th St, 93646559-626-4031(SP TA)

Palo Alto#063695 Lora Costa DDS Inc 824 Bryant St, 94301650-327-1787(RU SP TA VI)

Parlier#064359 Parlier Dental Studio 545 E Manning Ave Ste 108, 93648559-646-3844(SP)

#063158 United Health Centers Of The San Joaquin Valley 650 S Zediker Ave, 93648559-646-3561(SP)

Petaluma#052705 Design Dental Smiles 1456 Professional Dr Ste 401, 94954707-763-3203(AR FR SP)

#065341 Petaluma General Dentistry 135 Keller St Ste F, 94952707-778-6006(RU SP)

#049283 Petaluma Modern Dentistry 401 Kenilworth Dr Ste 960, 94952707-789-9600(RU SP)

#055281 Petaluma Valley Dental 701 Sonoma Mountain Pkwy Ste E1, 94954707-782-0789(AR SP)

#020354 Surya Manga Achyuta DDS 1372 N Mcdowell Blvd Ste B1, 94954707-778-9993(HI SP)

Pinole#026081 Bright Now! Dental 1477 Fitzgerald Dr Ste 106, 94564510-669-0350(HI SP TA)

#056471 Pinole Modern Dentistry Dental Group 1208 Fitzgerald Dr, 94564510-210-8907(SP)

Pittsburg#011404 Sky Dental 2230 Gladstone Dr Ste 100, 94565925-432-2444(SP TA)

#036289 Western Dental Services 2120 Railroad Rd Ste 105, 94565925-439-4774(SP)

Placerville#014629 Brookside Dental 4330 Golden Center Dr Ste B, 95667530-622-1987

#053988 Missouri Flat Dental Group 3967 Missouri Flat Rd Ste 120, 95667530-642-2876

#060767 Placerville Dentistry Group 699 Main St Ste B, 95667530-295-8000

Pleasant Hill#065271 Perfect Smiles Dental Of Pleasant Hill 1952 Contra Costa Blvd, 94523925-825-9663

#037931 Pleasant Hill Smiles Dental Group 2380 Monument Blvd Ste F, 94523925-363-4455(SP)

#053909 Pleasant Hill Wellness Dental 30 Golf Club Rd Ste C, 94523925-685-8633(KO SP)

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36

#062811 Richard Ramos DMD Inc. 764 Grayson Rd Ste A, 94523925-448-2345(TA)

Pleasanton#2C5101 Alisal Dental Care 5933 Coronado Ln Ste 205, 94588925-846-6308(CA VI)

#042699 Bernal Dental Care 3283 Bernal Ave Ste 108, 94566925-249-9242(CH SP)

#164201 Bernal Dental Group 4466 Black Ave Ste K, 94566925-485-1172(HI SP TA)

#055123 Eternal Dental Care 1491 Cedarwood Ln Ste C, 94566925-202-2332

#061196 Gokani Dental Corporation 1024 Serpentine Ln Ste 114, 94566925-462-1464(HI)

#009032 Leida P Stine DDS Inc 1400 Santa Rita Rd Ste I, 94566925-828-9993(SP TA)

#044444 Mojab General & Specialist Dental 1439 Cedarwood Ln Ste D, 94566925-484-1202

#044370 Pattanayak Dental Corporation 1400 Santa Rita Rd Ste C, 94566925-485-9595(HI SP)

#043338 Pleasanton Ridge Dental Group 6766 Bernal Ave Ste 560, 94566925-461-3100(HI)

#055774 Pleasanton Valley Dental Care 5460 Sunol Blvd Ste 5, 94566925-600-0065(SP)

#062453 Sharda Patel DMD Inc 1488 Cedarwood Ln Ste D, 94566925-846-4491(HI)

#057461 Sunflower Dental 1400 Santa Rita Rd Ste D, 94566925-398-8403(HI)

#013771 Tri Valley Dental 5820 Stoneridge Mall Rd Ste 118, 94588925-225-1555(KO SP)

Porterville#043191 Neilesh Patel DDS Inc 365 Pearson Dr Ste 2, 93257559-788-2532(SP)

#057381 Rene Herrera DDS Inc 141 E Putnam Ave, 93257559-781-2729(SP)

#036350 Western Dental Services 1213 W Henderson Ave, 93257559-306-3100(SP)

Portola#063711 Portola Dental Clinic 480 1st Ave, 96122530-832-6602(SP)

Rancho Cordova#047008 Procare Dental 11050 Coloma Rd Ste 17, 95670916-635-9800(AR HI 4 SP)

#037990 Rancho Cordova Dental Group 10910 Olson Dr Ste 100, 95670916-638-3780(SP)

#059892 Rancho Cordova Smile Dentistry Dental Group 4022 Sunrise Blvd Ste 160, 95742916-246-1108

#021048 RC Dental Group 11180 Sun Center Dr, 95670916-368-0440(AR RU SP KO)

#057833 Western Dental Services Inc 10321 Folsom Blvd Ste A, 95670916-362-5201

Redding#046993 Western Dental Services Inc 1350 Churn Creek Rd Ste F1, 96003530-224-9700

#063328 Western Dental Services Inc 1667 Hilltop Dr Ste E, 96002530-223-5500

Redwood City#031550 Birch Dental Group 155 Birch St Ste 5, 94062650-366-0552(SP)

#012387 Eugene Espiritu 705 Veterans Blvd Ste 1, 94063650-298-8818(CA 12 SP TA)

#059008 Randhawa Dental Practice 570 El Camino Real Ste 130, 94063650-361-9880(HI SP TA)

#039731 Siva Cherukuri DDS 194 Arch St Ste B‑c, 94062650-369-4616(HI SP TA VI)

#031062 United Dental 647 Veterans Blvd, 94063650-367-4300(SP)

#036284 Western Dental Services 975 Veterans Blvd, 94063650-365-8900(SP TA)

Richmond#050866 Bay Dental 6200 Huntington Ave, 94804510-527-5300(SP)

#057185 Winning Smile Dental Group 12732 San Pablo Ave, 94805510-233-3100(KO SP)

Riverbank#064283 Bright Now! Dental‑Riverbank 2441 Claribel Rd Ste A, 95367209-502-4555

#063873 Riverbank Smiles Dental 2119 Patterson Rd Ste 9, 95367209-502-7770(HI SP)

#042877 Suave Dental 3309 Sierra St, 95367209-872-3399(AR RU SP)

Rocklin#056520 Agape Dental 5752 Lonetree Blvd, 95765916-824-8711(TA)

#046713 Destiny Dental Implant Center 6950 Destiny Dr, 95677916-672-6377

#057826 Gentle Care Family Dentistry At Stanford Ranch 6741 Five Star Blvd Ste A, 95677916-435-2864(TA)

#056469 Gentle Dental North Rocklin 5494 Crossing Dr Ste 103, 95677916-778-3539(SP)

#021692 Healthy Smiles Family Dentistry 2160 Sunset Blvd Ste 503, 95765916-771-0757(CA)

#016849 Highland Dental Group 3291 Stanford Ranch Rd Ste 102, 95765916-435-1665

#059896 Rocklin Dental Whispers 6011 Stanford Ranch Rd Ste 112, 95765916-663-5675(AR HI SP)

#054648 Rocklin Modern Dentistry 5182 Commons Dr Ste 101, 95677916-660-9487

#054236 Rocklin Modern Dentistry Dental Group 5182 Commons Dr Ste 101, 95677916-660-9487

#041806 Serenity Dental 6661 Stanford Ranch Rd Ste D, 95677916-630-1084(JA)

#054456 Smile Time Dental 2241 Sunset Blvd Ste E, 95765916-984-4224(RU SP)

Rohnert Park#025253 Bright Now! Dental 5755 Redwood Dr Ste 200, 94928707-584-1000(SP)

#053921 Rhonert Park Smiles Dentistry 6315 Commerce Blvd, 94928707-584-7401

Roseville#028281 Aesthetic Dentistry 8445 Sierra College Blvd Ste B, 95661916-773-0505(AM RU)

#060724 Apple Dental 9600 Fairway Dr Ste 150, 95678916-788-8252

37

DeltaCare® USA

#054709 Aria Family Dental 4014 Foothills Blvd Ste 103, 95747916-780-9990(RU SP)

#064820 August Dentistry 1701 Santa Clara Dr Ste 100, 95661916-670-1006(TA)

#017161 Bright Now! Dental 960 Sunrise Ave Ste 115, 95661916-772-9300

#042339 Confidental Care 927 Reserve Dr Ste A, 95678916-742-5424

#064759 Dr Alan C Pan DDS 1700 Eureka Rd Ste 120, 95661916-781-6688(JA 12)

#063100 Esthetic Dentistry And Implants 140 Folsom Rd, 95678916-784-2129

#049096 Eureka Ridge Dentistry 1490 Eureka Rd Ste 130, 95661916-409-3979

#065130 Galleria Dental Center 790 Atlantic St, 95678916-780-5678(HI SP)

#007284 Granite Bay Smiles Dentistry 8630 Sierra College Blvd Ste 110, 95661916-783-0244(SP)

#060181 Gurkamal Sandhu DDS Inc 1895 E Roseville Pkwy Ste 100, 95661916-789-8766(HI)

#012754 Interdental Care 106 N Sunrise Ave Ste B10, 95661916-787-0631(RU TA)

#016175 Pavilions Dental 1259 Pleasant Grove Blvd Ste 100, 95678916-782-2010(RU SP)

#010386 Pleasant Grove Dental Group 10357 Fairway Dr Ste 100, 95678916-782-4500

#024565 Pleasant Grove Dental Group 10357 Fairway Dr Ste 100, 95678916-782-4500(RU)

#011889 Rocky Ridge Family Dental 1700 Rocky Ridge Dr Ste 100, 95661916-782-6001(RU SP)

#062778 Roseville Family Dental Care 3981 Foothills Blvd Ste 160, 95747916-773-4343(HI)

#056525 Roseville Star Dental 1950 Douglas Blvd Ste B1, 95661916-783-7105(HI SP)

#1C2301 Said Shaari DDS 406 Sunrise Ave Ste 270, 95661916-789-4568(RU SP)

#054680 Sentinel Dental 6756 Stanford Ranch Rd Ste 2, 95678916-774-0600

#029990 Shailesh Jawale DDS 928 Pleasant Grove Blvd Ste 100, 95678916-772-1367(HI SP)

#042818 Smile Designs Of Roseville 1158 Cirby Way Ste B, 95661916-771-0330

#023652 Star Dental 2030 Douglas Blvd Ste 37, 95661916-773-6222(RU SP)

#055416 Teresa Deguzman DDS Corporation 2436 Professional Dr Ste 200, 95661916-774-9920(RU SP TA)

#064118 Tooth By Sunny Badyal 258 Gibson Dr Ste 110, 95678916-630-7633(HI SP HI)

#036335 Western Dental Services 9450 Fairway Dr Ste 110, 95678916-771-8464

Sacramento#064170 Albert S Lee DDS Inc 1355 Florin Rd Ste 15, 95822916-393-9968(CA CH FR 12 12)

#054686 Arden Modern Dentistry Dental Group 2654 Marconi Ave Ste 100, 95821916-437-0157

#165601 Brent Varshawsky DMD 1901 Watt Ave Ste 2, 95825916-483-5677

#023542 Bright Now! Dental 591 Watt Ave Ste 100, 95864916-481-5057(CA LO 12 SP TH)

#060074 Capitol Dental Group 87 Scripps Dr Ste 102, 95825916-565-1300(SP)

#387001 Charles Tran DDS 6175 Stockton Blvd Ste 260, 95824916-427-6263(CH HI SP VI)

#061490 Delta Shores Dentistry Dental Group 8204 Delta Shores Cir S Ste 140, 95832916-277-9069(SP)

#064044 Dentists Of Arden Dental Group 3521 Arden Way Ste 101, 95864916-241-0873(SP)

#039592 Elder Creek Dental Group 3811 Florin Rd Ste 8, 95823916-392-7020(KO SP VI)

#056440 Florin Dental Center 6624 Valley Hi Dr Ste 1, 95823916-421-1421(SP)

#277101 Greenhaven Dental Group 925 Secret River Dr Ste A, 95831916-421-3815(HI SP TA)

#064780 Greenhaven Modern Dentistry 992 Florin Rd, 95831916-221-9970(SP)

#063008 Ivy Dental Group 9701 Business Park Dr Ste 400a, 95827916-400-3552(HI SP)

#063988 Land Park Modern Dentistry Dental Group 3640 Crocker Ave Ste 130, 95818916-550-9429(SP)

#242901 Madison Dental Care 5149 Madison Ave, 95841916-338-3880

#016569 Market West Dental Group 3290 Arena Blvd Ste 610, 95834916-574-9400(SP)

#058643 Midtown Modern Dental Group 1804 19th St Ste 100, 95811916-246-0889(RU SP)

#018046 Miracle Smile Dezham Dental Group 3009 K St Ste 255, 95816916-441-3311(CA SP TA VI)

#032105 More Smiles Dental 2020 Hurley Way Ste 135, 95825916-641-7700(RU SP)

#040404 Natomas Dental Care 2321 Northgate Blvd, 95833916-564-8088(4 TA)

#064021 Orchard Dental Care 925 Secret River Dr Ste B, 95831916-422-8332

#000669 Pacific Plaza Family Dental 6930 65th St Ste 107B, 95823916-422-5697(CH VI)

#010387 Park Place Dental Group 4690 Natomas Blvd Ste 100, 95835916-515-4500(HI RU SP)

#026025 Paul Shieh DDS 5659 Stockton Blvd, 95824916-456-8625

#322101 Pioneer Family Dental 7850 Stockton Blvd Ste 160, 95823916-689-3310(12 SP TA VI)

#050165 Pocket Dental 905 Secret River Dr Ste A, 95831916-428-5318

#062671 Premier Dental Group 3517 Marconi Ave Ste 105, 95821916-481-1111(AR HI KO SP)

DeltaCare® USA

38

#027422 Pro Dental Group 1111 24th St Ste 201, 95816916-442-5228(SP)

#023836 Promenade Dental Group 3635 N Freeway Blvd Ste 110, 95834916-285-6691(SP)

#058994 Redford Smiles 79 Scripps Dr Ste 204, 95825916-565-2570(CA KO SP)

#062448 Reliance Dental Care 8876 Vintage Park Dr Ste 105, 95828916-681-2751(CH HI SP VI)

#031026 Sacramento Dentistry Group 1105 E St, 95814916-538-6900(4 SP VI)

#064089 Sacramento Family And Implant Dentistry 1 Scripps Dr Ste 302, 95825916-999-4337(GE)

#062215 Sacramento Kids Dentistry 2821 Eastern Ave Ste 2, 95821916-850-9999(AR HI RU SP)

#064020 Sacramento Wellness Dentistry 8759 Center Pkwy, 95823916-382-8900(RO RU SP)

#014095 Said Shaari DDS 77 Cadillac Dr Ste 270, 95825916-649-8200(RU SP)

#114901 Serena Pugeda DMD 2518 L St Ste A, 95816916-446-7768(SP TA TA)

#061800 Simply Smiles Dental Care 9655 Folsom Blvd, 95827916-857-0620(HI SP)

#022867 Smile Makers 1906 Del Paso Rd, 95834916-263-9888(CA 12 TA)

#054870 Smile Time Dental 3433 Arden Way Ste B, 95825916-984-4224(RU SP TA)

#055280 Smile Time Dental 7227 29th St Ste B, 95822916-984-4224(RU SP)

#060096 Star Dental Practice 1824 Avondale Ave, 95825916-900-8521(HI KO SP VI)

#040356 Strawberry Creek Dental Group 8211 Bruceville Rd Ste 155, 95823916-525-7635(SP)

#1C9201 Unique Dental 7300 Franklin Blvd Ste 104, 95823916-428-4325(4 RU SP)

#037655 Vineyard Dental 8940 Vintage Park Dr Ste 100, 95829916-525-3200

#019048 VP Dental Care 3337 El Camino Ave, 95821916-486-8240(SP VI)

#046700 Western Dental Services 1355 Florin Rd Ste 3, 95822916-424-1400

#046698 Western Dental Services 1701 Watt Ave, 95825916-973-1200(SP)

#046699 Western Dental Services 3645 Northgate Blvd Ste A, 95834916-286-7750(SP)

#058670 Western Dental Services 4401 Florin Rd, 95823916-428-4000

#044851 Western Dental Services 8324 Elk Grove Florin Rd, 95829916-509-3334

#063265 Western Dental Services Inc 2693 Florin Rd, 95822916-424-5500(SP)

#063247 Western Dental Services Inc 3945 Marysville Blvd Ste 1‑2, 95838916-646-4100(SP)

#063242 Western Dental Services Inc 5200 Stockton Blvd, 95820916-455-6600(SP)

#057831 Western Dental Services Inc 5247 Elkhorn Blvd Ste C, 95842916-344-1500

#046697 Western Dental Services Inc 5261 Elkhorn Blvd, 95842916-344-2362

#057830 Western Dental Services Inc 5501 Stockton Blvd, 95820916-739-6100

#024691 Yolanda Gonzales DMD 2378 Fruitridge Rd, 95822916-421-1010(4 TA)

Salida#037923 Salida Dental Group 5708 Pirrone Rd, 95368209-543-3888(SP)

Salinas#037257 Accu Dental 929 N Main St, 93906831-783-1336(FR HI PE SP VI)

#033434 Diamond Dental Of Salinas 1209 N Davis Rd, 93907831-424-4111(SP TA)

#043371 Image Dental 1184 Monroe St Ste 9, 93906831-512-7515(VI)

#275801 Steinbeck Country Dental Practice 535 E Romie Ln Ste 10, 93901831-758-5836(SP)

#036336 Western Dental Services 1229 N Main St, 93906831-442-8000(SP)

#036344 Western Dental Services 921 S Main St #A, 93901831-783-3160(SP)

San Bruno#336601 Eugene Espritu 1230 El Camino Real Ste K, 94066650-875-6808(SP TA)

#052840 San Bruno Smile 797 Jenevein Ave, 94066650-873-8299(SP TA)

San Carlos#059467 Laurel Dental San Carlos 1267 Laurel St, 94070650-381-4811(12 SP)

San Francisco#082801 Bernardo Gonzalez DDS 2720 24th St, 94110415-282-4566(SP)

#014142 Center Of Cosemtic Dentistry 1550 Lombard St, 94123415-921-5555(AR SP TA)

#057598 Cosmo Dental 490 Post St Ste 1022, 94102415-800-7594(RU)

#059169 Dental Arts Practice Dr Albina Batchaeva 450 Sutter St Rm 1925, 94108415-757-0604(PT RU SP)

#065391 Ez Smile Family Dental Group 3100 19th Ave, 94132415-584-2537(RO SP TA)

#058401 Gentle Dental 2494 Mission St, 94110415-821-1200(SP)

#132801 Grand Mission Dental Group 4749 Mission St, 94112650-583-8822(SP TA)

#121801 J T Dental 2415 Noriega St, 94122415-682-2415(CH SP)

#022751 Kayvan Kafayi DDS 450 Sutter St Rm 1433, 94108415-398-2360(CH RU)

#033063 Michael Cole DDS 2595 Mission St Ste 308, 94110415-647-9191(SP)

#134701 Mikhail Berdichevsky DDS 4444 Geary Blvd Ste 303, 94118415-386-5590(RU)

39

DeltaCare® USA

#184601 Noriega Dental 3749 Noriega St, 94122415-661-8851(CA)

#064558 Open Wide San Francisco 1196 Valencia St, 94110415-400-3854(CS FR PL SP)

#136501 Richmond Dental Care 4312 Geary Blvd, 94118415-752-5605(RU)

#023138 Roberto Calabio DMD Inc 3184 22nd St, 94110415-642-2050(TA)

#150101 San Bruno Ave Dental Clinic 2817 San Bruno Ave, 94134415-656-2868(CH SP)

#213501 South Van Ness Dental Group 240 Shotwell St Ste 230, 94110415-431-9797(CA SP)

#053861 The Santos Dental Group Corp 450 Sutter St Rm 1114, 94108415-362-9893(TA)

#212701 Van Ness Dental Group 2243 Van Ness Ave Ste 201, 94109415-441-2098(CA 12)

#061674 Western Dental Services Inc 2626 Mission St, 94110415-285-7500(SP)

San Jose#037258 Accu Dental 730 Story Rd Ste 5, 95122408-998-1088(HI PE SP TA)

#060524 Accu Dental & Orthodontics 1180 Blossom Hill Rd Ste 4, 95118408-978-2500

#021635 Adrienne Van DDS 2114 Senter Rd Ste 14, 95112408-298-8187

#143301 Afshin Abdollahi DDS 2100 Curtner Ave Ste A, 95124408-979-0808(SP)

#060306 Almaden Dental Care 5595 Winfield Blvd Ste 102, 95123408-224-5200

#057452 Almaden Valley Smile Design 6472 Camden Ave Ste 100, 95120408-997-9027(SP)

#064253 AZ Dental 1095 E Brokaw Rd Ste 40, 95131408-437-1111(AR CA CH FR GR HI 12 SP VI)

#064249 AZ Dental 2195 Monterey Hwy Ste 30, 95125408-295-1100(AR CA CH FR GR HI KO 12 SP VI)

#059921 AZ Dental Corporation 405 Saratoga Ave Ste 60, 95129408-247-5500(AR HI SP VI)

#036417 Berna Sanayei DDS 2929 The Villages Pkwy, 95135408-274-9554

#013295 Big Smiles Dental Care 1547 Saratoga Ave, 95129408-725-3740(SP VI)

#042504 Blossom Hill Dental Center 704 Blossom Hill Rd Ste 100, 95123408-363-8700(HI SP)

#039738 Bright Now! Dental 171 Curtner Ave Ste 80, 95125408-572-8411

#045499 Cao Tu Nguyen DDS 2114 Senter Rd Ste 3, 95112408-993-8624(FR VI)

#047568 City Dental Center 5460 Dellwood Way Ste 30, 95118408-723-4000(SP)

#061217 David Jou Dental Corporation 91 N Bascom Ave, 95128408-926-2331(KO)

#142401 Dental Concepts Eastridge 2200 Eastridge Loop Ste 1060, 95122408-238-6684

#036198 Dental Solutions 2680 S White Rd Ste 100, 95148408-531-9501(HI SP)

#063064 Evergreen Family Dental Group 1620 E Capitol Expy Ste C, 95121408-223-6017(HI SP)

#011864 Evergreen Valley Dental 4868 San Felipe Rd Ste 120, 95135408-528-8303(HI SP VI)

#064113 Ez Dental 5730 Cottle Rd Ste 240, 95123408-227-6000(SP)

#064705 Family Dental Care 750 N Capitol Ave Ste C4, 95133408-993-8491(SP TA)

#059310 Guadalupe Dental Care 2593 S King Rd Ste 9, 95122408-238-4824(SP)

#033735 Gurdip Narula DDS 2850 Quimby Rd Ste 145, 95148408-274-5000(AM HI SP TA)

#045738 Hana Family Dental 374 S Redwood Ave, 95128408-386-1383

#013287 Image Dental 250 Montclair Ave Ste B, 95116408-223-0988

#002706 Irma Francisco DDS Inc 4750 Almaden Expy Ste 152, 95118408-264-5880(SP TA)

#186401 Jackson Family Dental 2324 Montpelier Dr Ste 3, 95116408-937-5950

#014877 Jasna Galeb DDS 1547 Saratoga Ave, 95129408-725-8331(RU SP)

#134901 Joel Santos DDS 200 N Jackson Ave Ste D, 95116408-254-7491(TA)

#058650 John Vu DMD 583 Willow St, 95125408-642-1144(SP VI)

#030822 Josephine Clemente DDS 2211 Moorpark Ave Ste 150, 95128408-216-9037(13 SP TA)

#019242 Kini Dental Care 100 Oconnor Dr Ste 23, 95128408-998-8383(HI)

#026187 Kini Gentle Dental Care 827 Blossom Hill Rd Ste W5, 95123408-226-1060(HI SP)

#042562 Lexann Smile Dental 1569 Lexann Ave Ste 108, 95121408-270-4211(SP VI)

#064260 Marcy Kazeminy DDS Inc 1676 Story Rd, 95122408-755-0797(SP)

#009015 Maxsmile Dentistry & Orthodontics 266 N Jackson Ave Ste 3, 95116408-272-2644(13 SP TA)

#047275 Meridian Dental Associates 1241 Meridian Ave, 95125408-266-6144(KO SP VI)

#033366 One Stop Dental 1155 S King Rd, 95122408-928-5678(SP VI)

#060139 Pannu Dental Group 1569 Lexann Ave Ste 212, 95121408-270-2847(HI SP TA)

#050214 PBS A Dental Corporation 750 N Capitol Ave Ste C8, 95133408-926-2221(SP TA)

#024850 Portia Dela Vega Oblea DMD 2356 Senter Rd, 95112408-993-9939(SP TA)

#025083 Pro‑Tech Dental Care 2664 Berryessa Rd Ste 210, 95132408-258-8903(VI)

40

DeltaCare® USA

#057599Refresh Dental Group 266 N Jackson Ave Ste 1, 95116408-272-1999(CA 12 VI)

#041552 Rio Dental Clinic 1060 S White Rd Ste C, 95127408-929-4321(SP VI)

#055676 Rose Garden Dental 2081 Forest Ave Ste 3, 95128408-288-5470(HI SP)

#042546 S J Dental 1876 Curtner Ave Ste 100, 95124408-371-7391(CA 12 SP)

#054328 Sikka Dental Corporation 150 N Jackson Ave Ste 203, 95116408-259-1280(HI SP TA)

#017363 Silicon Dental 2060 Aborn Rd Ste 210, 95121408-238-5500(HI SP)

#058336 Smile Design 1206 N Capitol Ave Ste 201, 95132669-235-5589(GR HI SP TA)

#003503 Story Dental Health Center Inc 2454 Story Rd, 95122408-272-0888(HI PT SP)

#020995 Tuyen Nguyen DDS 634 E Santa Clara St, 95112408-286-6156(FR SP VI)

#021004 Uni Dental 175 S Capitol Ave Ste E, 95127408-923-3073(SP VI)

#009619 Unident 2390 Senter Rd, 95112408-298-6420(SP VI)

#057588Union Dental 175 Bernal Rd Ste 260, 95119408-365-9791(KO SP VI)

#037313 Unismile 6134 Camino Verde Dr Ste G, 95119408-226-1600(HI KO SP)

#064600Valley Fair Family And Cosmetic Dentistry 373 S Monroe St Ste 102, 95128408-260-8844(HI)

#163301 Valley Family Dental Care 88 Tully Rd Ste 104, 95111408-490-4178(VI)

#057368Western Dental Services 1110 S King Rd Ste 60, 95122408-273-7251(SP)

#036353Western Dental Services 1871 Camden Ave, 95124408-377-5700

#036318 Western Dental Services 48 E Santa Clara St, 95113408-293-7000(SP VI)

#064962Western Dental Services Inc 1153 S King Rd B, 95122408-240-0250(SP)

#062152 Western Dental Services Inc 451 Blossom Hill Rd, 95123408-337-3622(HI SP)

#018511 Willow Dental Care 1675 Willow St, 95125408-264-8700(SP TA)

#059308 Winchester Dental Place 1399 S Winchester Blvd Ste 120, 95128408-370-7767(SP VI)

#062018 Young Dental Corporation 1705 Branham Ln Ste B4, 95118 408-264-7630(SP KO VI)

San Leandro#019633 Andy Q V Le DDS 1600 150th Ave, 94578510-276-5533(CH SP VI)

#062414 Golden State Smiles 15301 Washington Ave, 94579510-351-6820

#060414San Leandro Dental Studio 425 Estudillo Ave Ste B, 94577510-969-8510

#059653 Sl Dental Specialty Group 1436 Clarke St, 94577510-939-7246

#060518 Sudha Chinta DDS 433 Estudillo Ave Ste 302, 94577510-351-0930

#036315 Western Dental Services 14895 E 14th St Ste 100, 94578510-618-1230(SP)

San Mateo#037686 A + Dental Center 400 N San Mateo Dr Ste 2, 94401650-343-0895(CH SP TA)

#062619Andrei Roschkowsky DDS 351 N San Mateo Dr, 94401650-344-7635(RU SP)

#2C0001 Peninsula Dental 401a N San Mateo Dr, 94401650-344-7626(CA TA)

#042548Western Dental Services 4100 S El Camino Real, 94403650-235-1460(SP)

San Pablo#015680 Reach Dental Care 4200a Klose Way, 94806510-223-8228(CH HI TA)

San Rafael#060070 Ez Smile Family Dental Group 361 3rd St Ste H, 94901415-456-3273(KO SP)

#055011 Marin Community Clinics 3110 Kerner Blvd, 94901415-448-1500(SP)

#3C1301Pacific Dental Group 1523 5th Ave, 94901415-453-6277(CA 12 SP)

#000898 San Rafael Dentistry 905 Lincoln Ave, 94901415-453-1241(SP)

#062976 Select Dental 1050 Northgate Dr Ste 505, 94903415-499-9300(SP)

San Ramon#056476 Camino Ramon Dental 2301 Camino Ramon Ste 240, 94583925-830-0888(CA KO)

#000594 Country Fair Dental 12111 Alcosta Blvd, 94583925-829-3111(HI SP)

#022858 San Ramon Family Dental 3160 Crow Canyon Rd Ste 100, 94583925-866-8422(HI)

#063473 Smile Time Dental 9130 Alcosta Blvd Ste A2, 94583916-984-4224(CA SP TA VI)

Sanger#057352 H S Mann DDS Inc 2514 Jensen Ave Ste 101, 93657559-875-7980(SP)

#042109 Kim Hoang Tran DDS Inc 263 Academy Ave, 93657559-876-1031(SP VI)

#063190 United Health Centers Of The San Joaquin Valley 1570 7th St, 93657559-875-0557(SP)

Santa Clara#064261 Devmay Dental 545 Saratoga Ave Ste B, 95050408-247-5442(HI SP)

#060337 Northern Dental 122 Saratoga Ave # 200, 95051408-556-1333

#019966 Silicon Valley Dental 2727 Walsh Ave Ste 102, 95051408-987-0530(FR HI SP)

#010498 Star Dental 980 El Camino Real Ste 250, 95050408-247-3740(HR RU)

#041754 Western Dental Services 2825 El Camino Real, 95051408-343-4170(SP)

41

DeltaCare® USA

Santa Cruz#062694 Randall Medefesser DDS 550 Water St Ste J1, 95060831-425-5515(SP)

#036338 Western Dental Services 1107 Ocean St, 95060831-600-3260(SP)

Santa Rosa#021793 Essential Dental Care 55 Mission Cir Ste 103, 95409707-568-0480(SP)

#046867 Ez Smile Family Dental Group 4757 Hoen Ave, 95405707-575-9595(PE SP)

#065111 Norcal Family Dental Group 1144 Sonoma Ave Ste 107, 95405707-691-5251(RO)

#037617 Office Of Dr Rostami Inc 479 Stony Point Rd, 95401707-523-3700(SP)

#062465 Smile Country Dental 140 Stony Point Rd Ste A, 95401707-578-3118

#045242 Western Dental Services 1240 Farmers Ln, 95405707-542-5200(HI)

#036327 Western Dental Services 4100 Montgomery Dr Ste B, 95405707-537-2021(SP)

#063201 Western Dental Services Inc 1144 Sonoma Ave Ste 108, 95405707-523-2399(SP)

#036813 Yunfei Fan DDS 1420 Guerneville Rd Ste 5, 95403707-623-9471(12 SP)

Saratoga#009540 Prospect Dental Care 1480 Saratoga Ave, 95070408-866-3000(FR SP)

#055778 Sepideh Pejham 12948 Village Dr Ste D, 95070408-255-9057(TA)

Selma#063112 United Health Centers Of The San Joaquin Valley 2705 Highland Ave, 93662559-891-9003(SP)

South San Francisco#040747 Cecilia R H Avenido DMD Inc 2400 Westborough Blvd Ste 200, 94080650-989-8502(TA)

#039469 Epitacio N Sison Jr DDS 100 Arroyo Dr Ste C, 94080650-878-3171(TA)

#115101 Grand Mission Dental Group 1486 Huntington Ave Ste 302, 94080650-583-8822(SP TA)

#024022 Jeanette Estipona DDS 2400 Westborough Blvd Ste 103, 94080650-296-6952(TA)

#039468 Noel S Miranda DMD 1486 Huntington Ave Ste 302, 94080650-583-8822(SP TA)

#2C2301 Northwood Dental Care 125 Northwood Dr Ste A, 94080650-827-9746(13 TA)

#057585 Union Dental 215 Miller Ave, 94080650-763-1223(CH SP VI)

Stockton#040719 Bright Now! Dental‑Stockton 6323 Pacific Ave, 95207209-242-0470

#037719 Dental Group Of Stockton 1036 W Robinhood Dr Ste 104, 95207209-956-9650(IT SP)

#036906 Eduardo H Roa DDS 1341 W Robinhood Dr Ste C3, 95207209-957-0765(SP)

#041047 Gotta Smile 1035 W Robinhood Dr Ste 200, 95207209-952-3687(SP)

#031827 Kevin Thang Pham DDS PC 7746 Lorraine Ave Ste 204, 95210209-475-0869(SP)

#064296 Lake Front Smiles 4707 Quail Lakes Dr Ste 200B, 95207209-337-4500(HI SP)

#024855 Maria Theresa Oronce DMD 1701 N El Dorado St, 95204209-292-8737(TA)

#057612 Pacific Dental Group 7743 West Ln Ste C5, 95210209-474-1101(KM KO SP VI)

#014339 Park West Dental Group 10928 Trinity Pkwy, 95219209-474-8000(SP)

#026860 Southern California Dental Practice 20 S California St, 95202209-941-0814(CH HI 4 SP)

#028413 Star Dental Practice 8626 Lower Sacramento Rd Ste 37B, 95210209-951-8088(KM HI)

#062032 Stockton Creative Dental 2043 E Fremont St Ste 8, 95205209-466-5000(HI SP)

#036326 Western Dental Services 1407 W March Ln, 95207209-473-4000

#042096 Western Dental Services 678 N Wilson Way, 95205209-937-9000

#042098 Western Dental Services 7860 West Ln Ste B, 95210209-954-1727

#064125 Western Dental Services Inc 434 E Dr Martin Luther King Jr Blvd, 95206209-643-6170(SP)

#061704 Western Dental Services Inc 5756 Pacific Ave Ste 75, 95207209-472-1765(SP)

#063323 Western Dental Services Inc 902 E Hammer Ln, 95210209-957-9500

Sunnyvale#008454 Gentle Dental Sunnyvale 1639 Hollenbeck Ave, 94087408-732-6931(HI RU SP VI)

#052058 Gordon G Gong DMD 877 W Fremont Ave Ste K4, 94087408-736-7744(CA)

#178501 Joon Ku Lee DMD 500 E Remington Dr Ste 26, 94087408-774-2828(KO)

#025246 Lora Costa DDS 1286 Kifer Rd Ste 110, 94086408-774-1200(JA RU SP TA VI)

#016204 Olive Tree Dental 990 W Fremont Ave Ste U3, 94087408-773-8870(SP TA)

#064009 Pannu Dental Group 1117 Tasman Dr, 94089408-752-0684(HI SP)

#010499 Smilesavers Dental 1214 Apollo Way Ste 402, 94085408-737-0101(HI SP)

#398201 Sunnyvale Family Dtl Care 990 W Fremont Ave Ste O, 94087408-739-8999(TA VI)

#063241 Western Dental Services Inc 787 E El Camino Real, 94087408-990-8644(SP)

Tracy#050886 Arch Dental 1920 W Grant Line Rd, 95376209-820-0789(HI SP)

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DeltaCare® USA

#023268 Bright Now! Dental 2663 Naglee Rd, 95304209-836-4950(KO SP)

#023693 Grantline Dental 2242 W Grant Line Rd Ste 102, 95377209-832-2525(HI SP)

#054453 Kamini Patel DDS Inc 530 W Eaton Ave Ste L, 95376209-839-8810(HI)

#062772 Naglee Dental Group 2682 Naglee Rd Ste 110, 95304209-425-4505(SP)

#033811 Tracy Smiles Dental Group 2600 S Tracy Blvd Ste 170, 95376209-836-5441(SP)

#036333 Western Dental Services 2313 N Corral Hollow Rd, 95376209-832-9680

#063566 Western Dental Services Inc 2990 W Grant Line Rd, 95304209-830-7797(SP TA)

Tulare#036310 Western Dental Services 1111 E Tulare Ave, 93274559-688-3313(SP)

Turlock#014891 Healthy Smile Dental 795 E Olive Ave Ste B, 95380209-668-9300(HI SP)

#050212 Lulette A Mercado DDS Family Dentistry 1065 Colorado Ave Ste 6, 95380209-250-2300(SP TA)

#054237 Palm Dental Group 241 N Palm St, 95380209-667-2245(KO SP)

#061824 Smile Bright Family Dentistry 981 E Tuolumne Rd Ste 110, 95382209-667-5405(SP)

#048644 Turlock Smiles Dentistry And Orthodontics 2808 W Monte Vista Ave, 95380209-667-2879

#038595 Western Dental Services 703 N Golden State Blvd, 95380209-634-4053(SP)

Ukiah#052167 Ukiah Dental 307 Luce Ave, 95482707-462-1881(SP)

Union City#039548 BV Family Cosmetic Dentistry 2 Union Sq Ste 230, 94587510-489-5000(HI SP)

#060147 E P Reyes Dental Inc 32138 Alvarado Blvd, 94587510-487-6265(TA)

#039162 Noble Dental Care 34603 Alvarado Niles Rd, 94587510-493-2130(HI SP)

Vacaville#021426 Alamo Dental 3057 Alamo Dr, 95687707-448-8881

#010095 Alamo Family Dental Care 2501 Nut Tree Rd, 95687707-454-3888(CH RO)

#004927 Alamo Plaza Dental Office 810 Alamo Dr, 95688707-469-8188(SP TA)

#029121 All Smiles Dental 1241 Alamo Dr Ste 11, 95687707-447-8289(12 SP)

#039351 Bayside Dental 72 Peabody Rd, 95687707-450-0732

#039771 Nut Tree Smiles Dentistry 110 Nut Tree Pkwy, 95687707-451-8390(SP)

#050775 Vacaville Dental Center 141 Parker St Ste B, 95688707-450-1003(HI SP)

#057251 Vacaville Dentistry And Orthodontics Dental Group 671 Elmira Rd Ste 130, 95687707-215-5259

#036322 Western Dental Services 791 E Monte Vista Ave, 95688707-359-2211(SP)

Vallejo#044947 Bayside Dental Practice 2121 Redwood St Ste A, 94590707-644-7600(SP)

#062078 Galvan Dental Care 2809 Redwood Pkwy, 94591707-643-0888(12 SP TA)

#137201 Julius Mosley II DDS 2121 Redwood St Ste E, 94590707-558-1660(SP)

#056752 Mak Dental 480 Redwood St Ste 13, 94590707-554-2600(SP)

#000798 Northbay Dental Group 475 Redwood St Ste 30, 94590707-643-1714

#022896 Tri‑City Dental Vallejo 3630 Sonoma Blvd, 94590707-643-1987(SP TA)

#036357 Western Dental Services 3587 Sonoma Blvd, 94590707-557-8000(SP)

#063565 Western Dental Services Inc 133 Plaza Dr Ste R, 94591707-557-6245(SP)

#063329 Western Dental Services Inc 3400 Sonoma Blvd, 94590707-554-4000

Valley Springs#056441 Valley Springs Dental 313 Vista Del Lago Dr, 95252209-772-7200(HI SP)

Visalia#064325 Aspen Dental 3221 S Mooney Blvd Ste A, 93277559-754-3953

#027639 Bright Now! Dental 5344 W Cypress Ave Ste 101, 93277559-635-4391(4 SP)

#023227 Cosmetic Touch Dental Group 2634 W Walnut Ave, 93277559-732-7224(AM SP)

#054368 Packwood Creek Dental Group 4129 S Mooney Blvd Ste B, 93277559-732-1953

#055580 Visalia Modern Dentistry Dental Group 3206 N Dinuba Blvd Ste F, 93291559-334-2013

#036329 Western Dental Services 1230 S Mooney Blvd, 93277559-624-0503

#036331 Western Dental Services 828 S Mooney Blvd, 93277559-636-6000

Walnut Creek#027824 Dental Care Of Walnut Creek 1111 Civic Dr Ste 145, 94596925-937-9017(SP)

#062554 Dr Ahmad Hakimjavadi DDS 1804 San Miguel Dr, 94596925-262-1162(SP)

#034527 Horizons Dental 100 N Wiget Ln Ste 209, 94598925-945-7977(SP TA)

#1C9701 Mikhail Berdichevsky DDS 120 La Casa Via Ste 105, 94598925-933-9820(HE RU)

#008907 San Miguel Dental 1844 San Miguel Dr Ste 206, 94596925-279-3326(12 RO SP TA)

#002987 Tim Patel DDS 1818 San Miguel Dr, 94596925-945-7366(HI SP)

Watsonville#037259 Accu Dental 40 Penny Ln Ste 2, 95076831-724-0245(AR FR HI KO 12 PE SP VI)

43

DeltaCare® USA

#036309 Western Dental Services 1895 Main St, 95076831-763-4743(SP)

West Sacramento#018264 Acme Dental 820 Westacre Rd, 95691916-371-1500(SP)

#014630 Dentistry Today 1001 Jefferson Blvd Ste 500, 95691916-372-7022(KO VI)

#064174 Luc Dental Care 1050 Jefferson Blvd, 95691916-371-9051

#061676 Sacramento West Dental Office 821 Jefferson Blvd, 95691916-372-3368(HI)

#035874 South River Dental Group 2455 Jefferson Blvd Ste 130, 95691916-372-8062(SP)

Woodland#021391 Cottonwood Dental Group 520 Cottonwood St Ste 4, 95695530-669-6688(12 SP)

#019690 Lincoln Dental 520 Cottonwood St Ste 11, 95695530-661-9276(SP)

#062616 Woodland Family Dental 58 W Court St, 95695530-668-5500(SP)

#040062 Woodland Smiles 2041 Bronze Star Dr Ste 100, 95776530-662-7592(SP)

#025080 Yolo Dental Practice 520 Cottonwood St Ste 9, 95695530-662-8100(CA 12 SP TA)

Yuba City#063304 All Dental And Orthodontics 1222 Colusa Ave Ste H, 95991530-673-3684(SP)

#021422 Melissa Lee DDS 1215 Plumas St Ste 1901, 95991530-751-7671(SP)

#064197 Tooth By Sunny Badyal 1215 Plumas St Ste 52, 95991530-671-1244(SP)

#046520 Western Dental Services Inc 727 Colusa Ave, 95991530-751-0115

#063327 Western Dental Services Inc 940 Colusa Ave Ste A, 95991530-755-9900

#055101 Yuba City Dentistry Group 1052 Live Oak Blvd, 95991530-671-4784(HI SP)

Northern California offices (closed)

Antioch#0C1001 Dental Care Of Antioch 3432 Hillcrest Ave Ste 250, 94531925-754-2145(SP)

Auburn#025710 Sierra Family Dental 1300 Lincoln Way Ste D, 95603530-885-1931(TA)

Berkeley#042286 Berkeley Family Dental 3000 Colby St Ste 302, 94705510-843-4450(SP)

Citrus Heights#007823 Everlast Professional Dental 7400 Sunrise Blvd Ste A, 95610916-726-1819(SP VI)

Clovis#152901 Michael Ward DDS 375 Bullard Ave Ste 3, 93612559-298-7424(SP)

Daly City#043355 Marivic Agoncillo DDS Inc 343 Gellert Blvd Ste G, 94015650-731-0625(SP TA)

Dublin#032852 Restore Smiles Dental 6990 Village Pkwy Ste 210, 94568925-556-9074(HI SP)

Folsom#042360 Whingming Lee DDS 1671 Creekside Dr Ste 101, 95630916-983-9909(CA)

Foster City#013159 Jing‑Jing Qian DDS 1289 E Hillsdale Blvd Ste 3, 94404650-572-8518(12)

Freedom#155701 Family Dental Center 122 Thicket Ln, 95019831-724-6000(HI SP)

Fremont#052427 Anil Chowdhary 3200 Mowry Ave Ste A, 94538510-648-2487(HI SP TA)

#039894 Mission Dental 39560 Stevenson Pl Ste 218, 94539510-494-8856

Fresno#008872 Northside Dental Practice 1440 E Champlain Dr Ste 101, 93720559-446-1350(SP VI)

#161501 Sidney Jackson DDS 7433 N 1st St Ste 101, 93720559-447-3003(SP)

Lodi#036343 Western Dental Services 320 S Cherokee Ln, 95240209-366-7970

Madera#039512 n M Camarena Health Center 344 E 6th St, 93638559-664-4000

Mountain View#012033 California Family Dental 2425 California St Ste D, 94040650-967-1389(HI SP)

#042851 Camino Family Dentistry 451 W El Camino Real Ste B, 94040650-938-9002(HI SP)

#170301 Parktown Dental Care 990 Bay St, 94040650-968-4000(SP TA)

#023615 Smile By Design Inc 105 South Dr Ste 140, 94040650-938-1868(CH JA SP TA)

Oakland#024221 Oakland Dental Care 315 14th St, 94612510-444-6300(SP)

#138201 Wayne Fong DDS 1624 Franklin St Ste 410, 94612510-444-1083(SP)

44

DeltaCare® USA

Petaluma#031122 Petaluma Dental Care 1436 Professional Dr Ste 302, 94954707-763-2828(SP)

Redding#021046 Eric R Waits DMD 2115 Eureka Way, 96001530-246-1142(TA)

Roseville#001704 American Family Dentistry 1160 Cirby Way Ste 100, 95661916-789-8530(SP)

#000667 Sierra College Dental Practice 9290 Sierra College Blvd Ste 300, 95661916-788-8450(HI SP TA VI)

Sacramento#057818 Arden Oaks Dental Care 1741 Professional Dr, 95825916-485-5539(HI RU TA)

#167201 Eugene Spencer Jr DDS 2322 Butano Dr Ste 212, 95825916-486-2838

#036898 New Essence Dentistry 4000 Truxel Road Ste 2, 95834916-515-1000(SP)

San Francisco#051951 Alexander Kogan DDS Inc 255 King St Ste A, 94107415-644-0644(CA 12 RU SP)

#048127 Mission Dental 2482 Mission St, 94110415-285-9900(SP)

San Jose#162401 Blossom Hill Family Dental 5058 Union Ave Ste A, 95124408-559-8668(SP VI)

#398301 Comfort Dental Group 2881 Hemlock Ave Ste A, 95128408-249-8888(SP)

#049647 Gordon K Kanagaki DDS Inc 7176 Santa Teresa Blvd Ste B4, 95139408-226-7760

#053731 Happy Smile Dental Care 2664 Berryessa Rd Ste 213, 95132408-259-7000(SP TA)

#033686 Healthy Smiles Family Dental 2664 Berryessa Rd Ste 107, 95132408-258-1323(SP TA)

#349601 John Tanaka DDS 2034 Forest Ave Ste 1A, 95128408-279-8080(JA KO SP)

#143601 Tianna Dao DDS 2344 Mckee Rd Ste 10, 95116408-926-9300

San Leandro#176001 Margaret Yap DDS 13770 Doolittle Dr, 94577510-352-3918(CH SP TA)

#046440 Select Dental 145 E 14th St Ste 100, 94577510-587-9400(SP)

San Mateo#001652 Deepak Sachdev DDS 1415 S El Camino Real, 94402650-573-6500(HI SP)

San Pablo#030705 Contra Costa Dental 14330 San Pablo Ave Ste B, 94806510-234-1414(SP TA)

San Ramon#049550 Perfect Smiles Family Dentistry 9260 Alcosta Blvd Ste B10, 94583925-833-8702(PT TA)

#049635 Perfect Smiles Family Dentistry 9260 Alcosta Blvd Ste B10, 94583925-833-8702(TA)

Santa Rosa#013132 Bright Care Dental 1420 Guerneville Rd Ste 2, 95403707-578-3776

#054681 Elite Dental 1331 Guerneville Rd Ste G, 95403707-526-3900(AR SP)

#025490 Gentle Dental Santa Rosa 1421 Guerneville Rd Ste 102, 95403707-528-7000(SP)

South San Francisco#052919 Maria Luisa B Santos 125 Northwood Dr Ste A, 94080650-873-4740(SP TA)

#013447 Winston Manor Dental Office 101 Hickey Blvd Ste C, 94080650-991-4848(SP TA VI)

Sunnyvale#028978 Sai Dental 1050 E El Camino Real, 94087408-423-9197(HI)

#0C9501 Stephen Fong DDS 990 W Fremont Ave Ste S, 94087408-736-4101

Turlock#023627 Delbon Dental 2101 Geer Rd Ste 105, 95382209-667-2977(SP)

Windsor#191601 Charles Aikawa DDS 8741 Brooks Rd S Ste 201, 95492707-579-1201(SP)

45

DeltaCare® USA

Southern California offices (open)

Agoura HillsDC022091 AGOURA DENTAL5809 Kanan Rd, 91301‑1651818-735-38001/0 (GE SP)

DC044928 SEA BREEZE DENTAL CARE5029 Kanan Rd, 91301‑2515818-991-98529/1 (RU SP)

AlhambraDC025939 JIN ZHANG DDS1711 W Main St, 91801‑1827626-308-17111/0 (CA CH JA SP)

DC0C0201 ALHAMBRA GARFIELD DENTAL INC747 S Garfield Ave, 91801‑4438626-289-68152/0 (SP)

Aliso ViejoDC044625 GUITTA HARB DMD INC26731 Aliso Creek Rd Ste 210, 92656‑4811949-360-02251/0 (AR FR SP)

DC056971 ALISO VIEJO DENTAL26921 Aliso Creek Rd Ste B, 92656‑3395949-425-14471/0 (SP)

Alta LomaDC061193 Smile360 Family Dentistry9778 19th St, 91737‑3538909-980-48782/0 (AR HI SP)

AnaheimDC003047 STATE COLLEGE DENTAL GROUP330 N State College Blvd Ste 105, 92806‑2943714-772-50050/3 (PE SP)

DC004784 BRIGHT NOW DENTAL150 N State College Blvd, 92806‑2909714-780-085617/0 (SP)

DC013160 MAYSOON SAEED DDS INC710 S Brookhurst St Ste K, 92804‑4321714-758-07781/0 (AR)

DC013174 BRITE DENTAL GROUP1221 N Harbor Blvd, 92801‑2421714-224-49990/1 (SP)

DC013770 7 DAY DENTAL2265 W Lincoln Ave, 92801‑6503714-491-86000/5 (CH FR JA KO PE SP TA VI)

DC014097 SUNKIST DENTAL OFFICE2500 E Ball Rd Ste 150, 92806‑5000714-533-96700/1 (HI)

DC021442 EXCEL DENTAL1602 N Lemon St, 92801‑1205714-525-55581/0 (SP VI)

DC025173 DENTAL HEALTH ANAHEIM HILLS8101 E Kaiser Blvd Ste 150, 92808‑2661714-921-92520/1 (HI SP)

DC026769 NOEMI TAGUINOD DENTAL408 S Beach Blvd Ste 113, 92804‑1876714-816-09541/0 (SP TA)

DC030551 DENTAL AESTHETICS PROFESSIONALS1751 W Romneya Dr Ste D, 92801‑1815714-772-35380/1 (SP TA)

DC034491 CALIFORNIA DENTAL GROUP2300 S Harbor Blvd, 92802‑3518714-750-30300/1 (SP VI)

DC035597 BEACH DENTAL CARE2940 W Lincoln Ave Ste L, 92801‑6200714-995-40000/1 (KO SP)

DC038727 ROSETTA VERGEL DE DIOS DMD1691 S Euclid St, 92802‑2406714-991-75721/0 (SP TA)

DC042526 WESTERN DENTAL SERVICES INC1696 W Katella Ave, 92802‑3015714-635-600043/2

DC044688 YOUROCDENTISTCOM1116 N Euclid St, 92801‑1955714-635-08551/0 (AR AM FR SP)

DC047149 YOUR DENTIST3174 W Lincoln Ave Ste 102, 92801‑6085714-826-50001/0 (SP TA VI)

DC048191 HILLSVIEW DENTAL414 S Anaheim Hills Rd, 92807‑4241714-974-52231/0

DC052114 NA DENTAL1830 W Lincoln Ave Ste G‑F, 92801‑6746714-491-00821/0 (KO SP)

DC057984 Crescent Family Dental522 N Magnolia Ave, 92801‑4937714-828-14151/0 (CH SP)

DC058562 Smiles for Orange Country9672 Ball Rd, 92804‑5309714-772-01022/0 (HI SP)

DC058791 Radiance Dental5675 E La Palma Ave Ste 197, 92807‑2107714-695-05931/0 (AR)

DC059496 Neeta Somani DDS Inc1842 W Lincoln Ave Ste B, 92801‑5489714-533-43211/0 (HI SP)

DC060588 California Dental Group of North Anaheim1221 N Euclid St, 92801‑1954714-491-27321/0 (PL SP)

DC060680 San Angel Dental1637 S Euclid St, 92802‑2406714-998-12221/0 (SP)

DC061124 Patriot Dental922 S Euclid St, 92802‑1523714-776-70151/0 (SP VI)

DC061165 Dentists of Anaheim Hills Dental Group8162 E Santa Ana Canyon Rd Ste 104, 92808‑1112714-202-07652/0 (SP)

DC061389 Westport Dental420 S State College Blvd, 92806‑4119714-772-07701/0 (SP VI)

DC062030 Impladent Implant and Cosmetic Dentistry1520 E Lincoln Ave Ste 2, 92805‑2261714-774-63301/0 (AM PE SP)

DC062140 Welcome Dentistry1201 N Euclid St, 92801‑1954714-817-83452/0 (KO SP VI)

DC062499 Apple Tree Dental2170 W Lincoln Ave, 92801‑5601714-907-06061/0 (KO SP)

DC063041 Ace Dental Group1007 W La Palma Ave Ste 3, 92801‑3620714-778-61602/0 (KO SP)

DC063273 Anaheim Smiles Dental5475 E La Palma Ave Ste 200, 92807‑2075657-341-37002/0 (FinnishGE KO 12 SP TA)

DC063415 Dental Wellness of Anaheim250 W Lincoln Ave, 92805‑2903714-535-32541/0

DC063952 Anaheim Hills Dental Arts100 S Chaparral Ct Ste 150, 92808‑2284714-637-42001/0 (HI SP)

DC188001 DANNY THOMAS DDS601 S Euclid St, 92802‑1233714-778-07000/1 (SP)

DC256501 DR. JOHN M DELANEY DENTAL CORPORATION1161 N Euclid St, 92801‑1938714-999-50502/0 (SP)

DC258301 DENTAL CARE OF ANAHEIM815 N Euclid St, 92801‑4128714-758-07910/1 (HI SP)

DC274701 ANAHEIM OPEN 7 DAYS DENTAL637 N Euclid St, 92801‑4621714-772-28930/5 (KM CA CH LO 12 SP TA TA VI)

DC3C2201 ANAHEIM HILLS DENTAL GROUP5731 E Santa Ana Canyon Rd Ste A, 92807‑3234714-998-295610/2 (SP)

46

DeltaCare® USA

Apple ValleyDC008689 GENTLE DENTAL APPLE VALLEY18245 US Highway 18 Ste 3, 92307‑2217760-242-29772/0

DC022889 APPLE VALLEY SMILES12218 Apple Valley Rd Bldg 1 Ste 1, 92308‑1704760-300-36785/2 (SP)

DC023235 PARKWAY DENTAL GROUP20258 US Highway 18 Ste 400, 92307‑6197760-646-88393/1 (SP)

DC024165 DEXTER DENTAL GROUP INC19195 US Highway 18 Ste 201, 92307‑2562760-242-07965/0 (SP TA)

DC036527 SUNBURST DENTAL17995 US Highway 18 Ste 2, 92307‑2190760-946-52001/0 (SP)

DC047378 WESTERN DENTAL SERVICES INC19071 Bear Valley Rd Ste 1, 92308‑2718760-810-406656/0 (SP)

DC051120 JESS RANCH DENTAL18805 Bear Valley Rd Ste 4, 92308‑2728760-961-70011/0 (SP)

DC055387 Apple Valley Dental Associates20162 US Highway 18 Ste L, 92307‑2935760-946-14661/0 (KO SP)

DC062277 Valley Desert Dentist21580 Bear Valley Rd Ste B2‑2, 92308‑7200760-503-92332/0

ArcadiaDC011037 KAI WU DDS INC906 S Baldwin Ave, 91007‑6703626-462-98901/0 (CH JA 12 SP)

DC018884 SANTA ANITA DENTAL GROUP721 W Huntington Dr Ste B, 91007‑6734626-574-17667/1 (SP)

DC028125 ARCADIA DENTAL GROUP111 E Live Oak Ave, 91006‑5240626-445-11811/2 (CA 12 SP)

DC029181 JASON GEE DDS INC638 W Duarte Rd Ste 9, 91007‑9203626-447-78771/0 (CH 12 SP)

DC040824 OMID FARAHMAND DMD289 W Huntington Dr Ste 313, 91007626-254-19480/1 (AR FR JA PE SP)

DC196501 ARCADIA DENTAL CENTER440 E Huntington Dr Ste 101, 91006‑3750626-447-51263/1 (AM SP)

ArletaDC000223 SIMA BOOSTANFAR DMD9069 1/2 Woodman Ave, 91331‑6463818-893-87991/0 (SP)

DC054264 Planet Dental9700 Woodman Ave Ste A29, 91331‑6459818-897-19991/0 (HI KO SP TA VI)

DC059712 Woodman Dental Care8725 Woodman Ave Ste B, 91331‑6562818-891-66701/0 (SP TA)

Arroyo GrandeDC050262 R & R DENTAL CARE236 S Halcyon Rd, 93420‑3118805-489-14958/0 (SP)

ArtesiaDC000733 SARAH CUPINO DMD12146 South St Ste E, 90701‑6844562-924-10071/0 (SP TA)

DC042287 AARTI SHAH DDS INC17613 Pioneer Blvd, 90701‑4008562-809-84820/1 (AR HI KO SP VI)

DC055230 LEE AND KIM DENTAL CORP17334 Pioneer Blvd, 90701‑2708562-924-33341/0 (KO SP)

DC112201 SIOE HWA ONG DDS INC17906 Pioneer Blvd Ste 100, 90701‑4417562-860-96121/1 (IN)

AzusaDC012598 JAMES AHN DDS INC315 E Gladstone St, 91702‑4928626-969-67281/0 (SP)

DC033796 BRIGHT NOW DENTAL‑AZUSA810 E Alosta Ave, 91702‑2706626-804-21443/1

DC045234 ST JOHN DENTAL910 E Gladstone St, 91702‑4747626-332-30001/0 (AR SP)

DC053831 Canyon City Dental706 N Azusa Ave, 91702‑2507626-334-73102/0

DC063268 Hesam Shahoveisi DMD Inc483 S Citrus Ave, 91702‑4734626-966-34001/0 (SP)

BakersfieldDC012136 BAKERSFIELD DENTAL GROUP5120 Stockdale Hwy Ste D, 93309‑2673661-324-54423/0 (SP)

DC012986 RIVER LAKES DENTAL GROUP9510 Hageman Rd Ste B, 93312‑3953661-829-27009/1 (FR SP VI)

DC013335 ROBERT REDELSPERGER DDS2106 20th St, 93301‑3711661-324-60531/0 (SP)

DC013485 BHASKAR JOSHI DDS INC2519 River Blvd, 93305‑2651661-873-96321/0 (HI SP)

DC020014 HOME CARE DENTAL5917 Niles St Ste 3, 93306‑4695661-366-65271/1 (AR SP)

DC020863 MERCY PLAZA DENTAL GROUP500 Old River Rd Ste 225, 93311‑9508661-663-01092/0 (GE SP)

DC033092 MILLENNIUM DENTAL CENTER1830 28th St, 93301‑1904661-326-85360/2 (AR SP)

DC042486 WESTERN DENTAL SERVICES4401 Ming Ave, 93309‑4817661-397-740038/3 (SP)

DC042487 WESTERN DENTAL SERVICES1201 24th St # A, 93301‑2300661-431-112031/4 (SP)

DC042519 WESTERN DENTAL SERVICES3401 Coffee Rd Ste A, 93308‑5080661-587-351235/2 (SP)

DC043525 GOSFORD VILLAGE DNTL GROUP5353 Gosford Rd Ste 103, 93313‑4969661-588-20654/2 (SP)

DC045321 STOCKDALE SMILES DENT & ORTH11120 Stockdale Hwy Ste 103, 93311‑3656661-665-00808/0 (SP)

DC061146 Guy W. Mendivil DDD Professional Dental Corp515 W Columbus St Ste A & B, 93301‑5847661-323-59101/0 (SP)

DC062469 Ocean Dental Group2750 Ming Ave, 93304‑4431661-396-17012/0 (AR SP)

DC062689 San Dimas Dental Practice3809 San Dimas St Ste A, 93301‑5727661-322-76961/0 (SP TA)

DC062703 Dentists of Bakersfield of Dental Group1403 Allen Rd Ste 1000, 93314661-368-09192/0 (SP)

Baldwin ParkDC000313 PRAKASH PATEL DDS4138 Maine Ave Ste N3, 91706‑3302626-960-63950/1 (SP)

DeltaCare® USA

47

DC029898 BALDWIN PARK FAMILY DENTAL13020 Francisquito Ave Ste 7, 91706‑3753626-962-94741/0 (KO SP)

DC056766 San Jose Yangon Dental14514 Ramona Blvd Ste 1, 91706‑3361626-337-47001/0 (CH SP)

BanningDC036281 WESTERN DENTAL SERVICES887 W Ramsey St, 92220‑4437951-849-321455/11 (SP)

DC048549 BANNING FAMILY CENTER1070 E Ramsey St, 92220‑5924951-846-25603/0 (GE 4 SP)

DC057219 Dental Works6350 W Ramsey St Ste A, 92220‑3065951-769-04661/0 (AR FR RO SP)

BarstowDC023900 PROCARE DENTAL GRP1232 E Main St, 92311‑2409760-256-11891/0 (SP TA TA)

BeaumontDC026912 BEAUMONT SMILES DENTAL GROUP1620 E 2nd Street Market Place Ste A, 92223‑3166951-769-91316/1 (SP)

DC059832 DR LEE BEAUMONT DENTAL930 Beaumont Ave, 92223‑1831951-845-22001/0 (KO SP)

DC062788 The Dental Office of Beaumont1620 E First St Ste 200, 92223‑3174951-800-80952/0 (SP)

BellDC012292 KAMRAN HAKIM DDS6334 Atlantic Ave, 90201‑1228323-560-36460/1 (SP)

DC013144 DR DESAI‑GAGE FAMILY DENTAL4127 Gage Ave, 90201‑1128323-773-29312/0 (SP)

Bell GardensDC055522 BRIGHT NOW DENTAL‑BELL GARDENS6840 Eastern Ave Ste A, 90201323-513-084216/0

DC328401 MARKETPLACE DENTAL OFFICE6815 Eastern Ave Ste A1, 90201‑3919323-560-25950/1 (SP)

DC372001 JIN WEI CHU DDS6526 Eastern Ave, 90201‑3004323-771-39492/0 (CH 12 SP)

BellflowerDC003208 ROSECRANS DENTAL GROUP9222 Rosecrans Ave, 90706‑2140562-272-02220/4 (PE SP VI)

DC010634 SMILE CENTER DENTAL16542 Bellflower Blvd Ste 100, 90706‑5417562-866-70730/1 (SP)

DC019923 BELLFLOWER DENTAL17615 Lakewood Blvd, 90706‑6409562-408-144713/0

DC046702 WESTERN DENTAL SERVICES INC9755 Alondra Blvd, 90706‑3677562-925-402266/0 (SP)

DC059299 Western Dental Services Inc17660 Lakewood Blvd, 90706‑6410562-461-118023/0

DC059549 Bruce J Uy DMD Dental Corporation16900 Lakewood Blvd Ste 306, 90706‑5580562-867-51912/0 (SP TA TA)

DC060041 Alexander Santos Flores DMD Inc10454 Artesia Blvd Ste C, 90706‑6838562-925-58991/0 (SP TA)

DC062191 Bellflower Smile Center9202 Alondra Blvd, 90706‑4210562-246-99891/0 (RU SP)

DC062285 Alondra Dental Associates8800 Alondra Blvd Ste A, 90706‑4302562-317-49173/0 (SP)

DC329301 JOHN LIM DMD10120 Alondra Blvd, 90706‑3904562-920-66441/0 (SP TA)

Beverly HillsDC005483 GALLERY DENTAL ARTS9400 Brighton Way Ste 309, 90210‑4710310-273-73971/0 (AM RU)

DC026347 SMILE ANGELS OF BEVERLY HILLS8500 Wilshire Blvd Ste 709, 90211‑3105310-201-90011/0 (FR GR SP)

DC057362 Montage Cosmetic Dental9400 Brighton Way Ste 210, 90210‑4709310-270-42221/0 (SP)

DC255201 STEVEN GOLDY AND ASSOCIATES416 N Bedford Dr Ste 102, 90210‑4308310-550-15111/0 (AM HE RU SP)

DC305001 KAMBIZ KASHFIAN DDS50 N La Cienega Blvd Ste 206, 90211‑2246310-659-79491/0 (AM FR SP)

BonitaDC013283 BONITA FAMILY DENTAL4424 Bonita Rd, 91902‑1423619-479-87031/1 (HR RU SP TA)

BreaDC025689 SHEENA BHATIA DDS151 S Kraemer Blvd Ste C1, 92821‑4672714-257-92001/0 (HI SP)

DC035011 BRIGHT NOW DENTAL‑BREA101 W Imperial Hwy Ste E, 92821‑7902714-988-100010/0

DC036008 FULLERTON DENTAL CARE747 S Brea Blvd Ste 34, 92821‑5379714-870-20001/1 (SP)

DC039541 CATHERINE NGUYEN DDS INC552 E Lambert Rd, 92821‑4116714-990-33440/1 (SP VI)

DC040105 BREA DENTISTS & ORTHODONTISTS2500 E Imperial Hwy Ste 120, 92821‑6116714-990-22994/0 (SP)

DC040782 COSMETIC & DENTAL IMPLANT CENTER782 N Brea Blvd, 92821‑3334714-257-03300/1 (KO SP VI)

DC041994 KAREN KOO DDS936 E Imperial Hwy, 92821‑5612714-990-49111/1 (SP)

DC057441 Brea Dental Care330 N Brea Blvd Ste B, 92821‑4001562-356-09482/0 (AR FR JA PT SP VI)

DC058386 Gental Dental Brea715 E Birch St Ste A, 92821‑5704714-332-10063/0 (AR SP)

DC061821 Brea Dental Group503 E Imperial Hwy, 92821‑5544714-672-90001/0

DC1C4801 BERRY IMPERIAL DENTAL GROUP649 W Imperial Hwy Ste H, 92821‑3838714-529-12321/0 (SP)

DC3C1501 IMPERIAL DENTAL CARE200 E Imperial Hwy, 92821‑4925714-671-99992/1 (AR FR HE HI SP VI)

Buena ParkDC012353 FOROUTAN DENTAL CORPORATION8951 Knott Ave Ste L, 90620‑4108714-826-41811/0 (SP TA)

DC023298 VALLEY VIEW DENTAL10102 Valley View St, 90620‑4344714-229-48980/1 (SP)

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DC029969 P DHOLAKIYA & ASSOCIATES DDS7011 Orangethorpe Ave Ste 100, 90621‑3322714-994-44820/2 (SP)

DC036324 WESTERN DENTAL SERVICES5971 Lincoln Ave, 90620‑3580714-995-935935/13 (SP)

DC036557 ALL SMILES DENTAL7938 Valley View St, 90620‑2354714-670-76570/1 (SP)

DC042829 PRIME DENTAL CARE7540 Orangethorpe Ave Ste C4, 90621‑3458714-522-44451/0 (KO SP)

DC045697 BRITE DENTAL5258 Beach Blvd Ste A, 90621‑1276714-523-28281/0 (KO)

DC061497 DENTISTS OF BUENA PARK DENTAL GROUP7540 Orangethorpe Ave Ste A1, 90621‑3458714-576-25404/0 (SP)

DC062777 Buena Park Dental Center8402 Commonwealth Ave, 90621‑2528714-739-20511/0 (SP)

DC063962 Heungki Min DDS A Professional Corp5881 Beach Blvd, 90621‑2021714-266-03781/0 (KO SP)

DC157001 ST THERESE FAMILY DENTISTRY6891 La Palma Ave, 90620‑2429714-994-69111/0 (TA)

BurbankDC000082 SAN GABRIEL SUMMIT DENTAL255 E Orange Grove Ave Ste B, 91502‑1240818-557-09641/0 (SP)

DC011035 LOUIS MO DDS500 E Olive Ave Ste 460, 91501‑2171818-846-31811/0 (SP)

DC011528 EMPIRE DENTAL GROUP1635 N Victory Pl, 91502‑1645818-565-00579/1 (SP)

DC012934 TOLUCA LAKE DENTAL3808 W Riverside Dr Ste 408, 91505‑5301818-842-40191/0 (SP)

DC013523 BURBANK‑GLENDALE DENTAL GROUP500 E Olive Ave Ste 430, 91501‑2171818-567-46621/0 (RU SP)

DC015675 CASTLE DENTAL CENTER140 N Victory Blvd Ste 101, 91502‑1848818-841-163417/1 (SP)

DC022062 VIGEN ALIKHANIAN DDS3927 W Burbank Blvd, 91505‑2118818-845-09001/0 (AM RU SP)

DC024660 BOYAJIAN & BARDAKJIAN DDS3808 W Riverside Dr Ste 307, 91505‑4339818-861-78401/0 (AR AM RU)

DC035522 BURBANK VILLAGE DENTISTRY928 N San Fernando Blvd Ste E, 91504‑4318818-841-86071/0 (AM RU SP TA)

DC058001 WESTERN DENTAL SERVICES INC1107 N San Fernando Blvd, 91504‑4331818-295-256640/0 (PE SP)

DC063032 Midtown Dental Group4406 W Magnolia Blvd Ste A, 91505‑2729818-260-02741/0

DC0C4301 RENE GHOTANIAN DDS500 E Olive Ave Ste 250, 91501‑2171818-846-26001/0 (AM SP)

DC236001 JOHN YEKIKIAN DDS2601 W Alameda Ave Ste 406, 91505‑4813818-843-78411/0 (AM PE SP)

CalabasasDC062035 Armen Galustian DDS4764 Park Granada Ste 107, 91302‑3322818-224-24201/0 (AM HE RU SP)

DC356501 CALABASAS DENTAL GROUP26500 Agoura Rd Ste 114, 91302‑3558818-871-06801/0 (AR AM SP)

CalexicoDC039717 KAMRAN GHOREYSHI FAMILY DENTISTRY408 E 3rd St Ste C, 92231‑2854760-357-90001/0 (SP)

CamarilloDC003118 LAS POSAS DENTAL CARE4000 Calle Tecate Ste 111, 93012‑5284805-383-67451/0 (12 SP)

DC017291 MISSION OAKS DENTAL GROUP4900 Verdugo Way Ste A, 93012‑8631805-484-72774/2

DC018205 R TRENT & GINA TORGERSEN DDS484 Mobil Ave Ste 31, 93010‑6363805-484-12212/0 (SP)

DC041958 PALM DENTAL CARE2177 Ventura Blvd, 93010‑7934805-388-10480/1 (SP)

DC057498 Raffi Chalian DDS Inc2107 Pickwick Dr, 93010‑6427805-445-13331/0 (AM RU SP)

DC198701 CAMARILLO DENTAL GROUP2380 Las Posas Rd Ste A, 93010‑3445805-388-91106/0 (SP)

Canoga ParkDC025572 OMEGA DENTAL GROUP21712 Sherman Way, 91303‑1931818-883-66341/0 (HE SP)

DC027937 Z. GEORGES RHAYEM D.D.S. DENTAL CORP.21123 Victory Blvd, 91303‑2828818-888-27000/1 (AR AM FR SP)

DC037718 101 DENTAL GROUP7259 Owensmouth Ave, 91303‑1530818-999-99000/1 (GE SP)

DC058338 St Mark Family Dental Group20913 Sherman Way, 91303‑1743818-992-46001/0 (AR SP)

DC061443 Western Dental Services Inc21729 Vanowen St, 91303‑2618818-898-085811/0 (SP)

Canyon CntryDC060521 A New Smile Canyon Country27209 Camp Plenty Rd, 91351‑2634661-251-04803/0 (FR SP)

Canyon CountryDC031240 SMILES DENTAL GROUP18520 Soledad Canyon Rd Ste G, 91351‑3731661-252-28000/1 (AM RU SP)

CarlsbadDC029516 GATEWAY DENTAL GROUP2635 Gateway Rd Ste 101, 92009‑1753760-431-81124/2 (SP)

DC030035 GENTLE DENTAL CARLSBAD2620 El Camino Real Ste A, 92008‑1255760-720-09665/0 (SP TA)

DC038342 FORUM FAMILY DENTAL1905 Calle Barcelona Ste 229, 92009‑8453760-753-67860/1 (SP VI)

DC045527 CARLSBAD FAMILY DENTISTRY2010 Cassia Rd Ste 110, 92009‑4210760-930-89001/0 (RU SP)

DC053894 La Costa Dentistry and Orthodontics7625 Via Campanile Ste 130, 92009‑8489760-633-16537/0 (SP)

DC057572 CARLSBAD VILLAGE FAIRE DENTISTS DENTAL GROUP300 Carlsbad Village Dr Ste 203, 92008‑2990760-487-02034/0

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CarsonDC014861 HYACINTH EZEANI DDS460 E Carson Plaza Dr Ste 114, 90746‑3282310-719-18651/0

DC016934 ISLAND DENTAL301 W Carson St, 90745‑2608310-787-70531/0 (SP)

DC053927 Omid Barkhordar Dental Group101 W Carson St, 90745‑2602310-513-02222/0 (RU SP VI)

DC058396 THE DENTAL OFFICE OF CARSON612 E Carson St Ste 101, 90745‑2896310-469-93553/0

DC059587 Western Dental Services Inc172 E Carson St, 90745‑2702310-618-152220/0 (AM CA CH KO RU SP TA VI)

DC063672 CESAR CARRASCO DDS21847 S Avalon Blvd, 90745‑3304310-549-97101/0 (SP)

DC363701 FAMILY DENTAL CENTER22813 Figueroa St, 90745‑4633310-549-37171/0 (AR SP)

CastaicDC012356 HASLEY CANYON DENTAL GROUP29655 The Old Rd, 91384‑4570661-702-83383/1 (SP)

DC038027 CASTAIC DENTAL CENTER31886 Castaic Rd, 91384‑3946661-257-23001/0 (HI PL SP)

Cathedral CityDC050208 WESTERN DENTAL SERVICES INC69160 Ramon Rd Ste 100, 92234‑9140760-969-546946/0 (SP)

DC1C3501 PURE DENTAL69420 Ramon Rd, 92234‑3349760-202-11712/0 (SP)

CerritosDC013210 PAUL KIM DMD11900 South St Ste 122, 90703‑6800562-809-61771/0 (KO PT SP)

DC184301 BLOOMFIELD DENTAL CENTER12657 166th St, 90703‑2101562-926-65021/0 (AR SP TA VI)

ChatsworthDC027864 FUTURE DENTAL CARE10242 Canoga Ave, 91311‑3007818-882-52520/1 (AR AM FR SP)

DC061248 Chatsworth Dentistry Dental Group10316 Mason Ave, 91311‑3305818-493-13023/0 (SP)

DC284101 DEVONSHIRE PLAZA DENTAL GROUP10230 Canoga Ave, 91311‑3007818-341-84001/0 (AM FR SP)

ChinoDC026852 CHINO SMILES DENTAL GROUP6961 Schaefer Ave, 91710‑9126909-590-06407/2

DC043660 PRIORITY DENTAL GROUP4673 Riverside Dr Ste D, 91710‑5905909-627-79771/0

DC047223 BRIGHT NOW DENTAL‑CHINO12027 Central Ave, 91710‑1908909-270-429114/0

DC047376 WESTERN DENTAL SERVICES INC12400 Central Ave, 91710‑2603909-613-010663/0 (SP)

DC055128 Valdez Family Dentistry4129 Riverside Dr, 91710‑3183909-591-92112/0 (SP TA)

DC056744 Chino Valley Smile Center12850 10th St Ste B1, 91710‑4297909-613-01111/0 (AR SP)

DC059048 Nguyen Tabari Dental Partnership12604 Central Ave, 91710‑3508909-591-17452/0 (AR CA FR JA 12 SP)

DC063040 Delicate Smiles4531 Philadelphia St Ste B107, 91710‑2249909-902-91003/0 (CA SP TA)

DC063786 Chino Aesthetic Dental12555 Central Ave Ste B, 91710‑3569909-627-09881/0 (HI SP)

Chino HillsDC003117 CHINO HILLS DENTAL GROUP3410 Grand Ave Ste F, 91709‑1473909-364-002711/1

DC029176 PINE CENTER DENTAL GROUP5771 Pine Ave Ste S, 91709‑6529909-597-24771/0 (KO SP VI)

DC031829 DENTAL CARE OF CHINO HILLS3280 Chino Hills Pkwy Ste 4, 91709‑5866909-606-99070/1 (HI SP)

DC062205 Hillcrest Dental Studio2130 Grand Ave Ste H, 91709‑4867909-927-53331/0 (HI SP)

DC062598 The Dental Office on Soquel Canyon15850 Soquel Canyon Pkwy Ste A, 91709‑7927909-375-01331/0 (SP)

Chula VistaDC009447 TWIN OAKS FAMILY DENTISTRY230 F St Ste D, 91910‑2845619-427-52621/0 (FR GE SP)

DC021040 VILLAGE DENTAL GROUP878 Eastlake Pkwy Ste 1511, 91914‑4550619-739-49366/1 (HI SP)

DC026776 MEIGS FAMILY DENTAL1040 Tierra Del Rey Ste 209, 91910‑7865619-656-97131/0 (SP)

DC030417 CARMEN DENISE MAROON LOPEZ DDS2648 Main St Ste A, 91911‑4664619-423-52001/0 (SP TA)

DC031635 SMILE SAN DIEGO

585 Telegraph Canyon Rd, 91910‑6436619-421-70100/1 (SP TA)

DC034615 CHULA VISTA DENTAL CARE1177 Broadway Ste 19, 91911‑2771619-409-14001/1 (SP)

DC040221 SAMUEL HAYATT DMD2260 Otay Lakes Rd Ste 110, 91915‑1007619-482-55551/0 (SP)

DC040892 OTAY LAKES DENTAL GROUP2060 Otay Lakes Rd Ste 230, 91913‑1364619-656-18651/0 (CH 12 SP TA)

DC044620 CANYON VISTA DENTAL GROUP700 Otay Lakes Rd, 91910‑6912619-421-84743/0 (SP)

DC050209 WESTERN DENTAL SERVICES INC1101 Broadway, 91911‑2706619-422-889138/0 (SP)

DC056451 Estrada Family Dental Group355 K St Ste A, 91911‑1209619-934-57132/0 (SP)

DC057560 Bonita Smiles Dentistry1558 E H St Ste B, 91913‑2018619-421-90701/0 (SP)

DC060971 David Gonzalez DDS Dental Corp855 Third Ave Ste 3330, 91911‑1350619-208-29081/0 (SP)

DC063287 Eastlake Modern Dentistry Dental Group1690 Millenia Ave Ste 102, 91915‑2889619-344-81641/0 (SP)

DC063477 San Ysidro Health Chula Vista678 Third Ave., 91910619-662-41001/0 (SP TA)

DC0C1801 GENTLE DENTAL CHULA VISTA520 Broadway Ste 1, 91910‑5376619-476-10014/0

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DeltaCare® USA

City Of IndustryDC005418 VALLEY DENTAL CENTER17595 Almahurst St Ste 101‑2, 91748‑9909626-965-74451/0 (SP TA)

DC025605 WALNUT SMILES21750 Valley Blvd Ste C, 91789‑0939909-595-08073/1

DC043072 UNIQUE FAMILY COSMETIC DENTISTRY18558 Gale Ave Ste 266, 91748‑1396626-581-31881/0 (CH SP)

DC056511 Plaza Dental Group17515 Colima Rd Ste C, 91748‑1859626-965-09712/0 (KO SP TA)

ClaremontDC012593 NEWPORT DENTAL406 Auto Center Dr, 91711‑5458909-624-61997/0 (SP)

DC046717 WESTERN DENTAL SERVICES INC740 S Hill Blvd Ste B, 91711‑5400909-625-609261/0 (KO SP TA)

DC055822 Claremont Modern Dentistry405 W Foothill Blvd Suite 104, 91711‑2786909-626-12368/0

ColtonDC063456 Assure Dental1080 E Washington St, 92324909-783-90992/0 (SP)

DC368501 ST PATRICK DENTAL CLINIC1200 E Washington St Ste F2, 92324‑6499909-422-08850/1 (SP TA TA)

ComptonDC036307 WESTERN DENTAL SERVICES1821 N Long Beach Blvd, 90221‑1203310-639-430046/7 (SP)

CorcoranDC063109 United Health Centers of the San Joaquin Valley1209 Whitley Ave, 93212‑2327559-992-50202/0 (SP)

CoronaDC001604 JOSEPH RAJABI DDS900 S Main St Ste 107, 92882‑3401951-734-41700/1

DC002542 DENTAL R US1303 W 6th St Ste 103, 92882‑3196951-898-21012/0 (SP VI)

DC004224 SOUTH CORONA DENTAL GROUP1312 E Ontario Ave Ste 102, 92881‑6645951-273-03705/2 (SP)

DC009195 DENTAL ASSOCIATES OF CORONA1380 El Sobrante Rd, 92879‑5759951-273-95802/0 (AR HI 4 KO SP TH)

DC010322 BRIGHT NOW DENTAL140 W Ontario Ave Ste 105, 92882‑5272951-735-496915/0

DC011789 MCKINLEY DENTAL115 N McKinley St Ste 105, 92879‑6562951-280-93001/0 (HI SP)

DC013104 MAIN STREET DENTAL GROUP131 W Ontario Ave Ste 102, 92882‑5274951-898-97009/1 (SP)

DC015150 LITA HERMANSJAH DDS916 W 6th St, 92882‑3239951-738-17491/0 (IN SP)

DC024304 CORONA FAMILY DENTAL GROUP1358 W 6th St Ste 101, 92882‑3167951-734-46200/2 (AR SP)

DC029917 SOFT CARE DENTAL910 Washburn Ave Ste D, 92882‑4383951-734-77170/1 (SP TH)

DC032980 GENTLE DENTAL CORONA1074 W 6th St Ste 104, 92882‑1639951-279-76501/2

DC052868 Western Dental Services Inc617 N Main St, 92880‑1467951-273-387969/0 (SP)

DC059719 Orchard Dental Group2150 California Ave Ste 107, 92881‑7271951-279-43331/0 (SP)

DC060185 Mostafa Khattab DDS807 W Grand Blvd Ste B, 92882‑3272951-737-87371/0 (AR GE SP)

DC062813 West Corona Dentistry4264 Green River Rd Ste 102, 92880‑1632951-340-02001/0 (SP VI)

DC063546 City Dental Centers161 N McKinley St Ste 102, 92879‑6530951-737-37461/0

Corona Del MarDC029287 CORONA DEL MAR DENTAL GROUP2345 E Coast Hwy Ste C, 92625‑2034949-675-31310/1

CoronadoDC039394 MARTHA MORETT DDS1203 2nd St Ste A, 92118‑1430619-435-68401/0 (SP)

Costa MesaDC006360 DAZZLING SMILE DENTAL GROUP204 E 17th St Ste 201, 92627‑7300949-515-81811/0 (SP)

DC013168 PACIFIC HARBOR DENTAL GROUP3030 Harbor Blvd Ste G1, 92626‑2562714-546-61006/1 (SP)

DC013279 BRIGHT DENTAL CARE320 Bristol St Ste H, 92626‑7946714-546-75951/0 (SP VI)

DC022156 NEWPORT DENTAL GROUP1835 Newport Blvd Ste E267, 92627‑5013949-574-01000/1 (IT RU SP TR)

DC033581 BRIGHT NOW DENTAL COSTA MESA2300 Harbor Blvd Ste H5, 92626‑6203949-610-014610/2 (AR KO VI)

DC036332 WESTERN DENTAL SERVICES534 W 19th St, 92627‑2748949-645-140836/9 (SP)

DC045295 NEWPORT SMILES DENTAL SPA570 W 19th St, 92627‑2749949-642-10331/0 (PT SP)

DC055690 Smile Max Dental2969 Harbor Blvd, 92626‑3912714-437-11001/0 (SP TR)

DC057753 SOCAL SMILES DENTISTRY230 E 17th St Ste 208, 92627‑3898949-645-00451/0 (KO SP TA VI)

DC061281 Brite Clean Smiles488 E 17th St Ste A101, 92627‑3277949-777-10051/0 (SP)

DC061405 17TH Street Modern Dentistry Dental Group270 E 17th St Ste 15, 92627‑3845714-224-04802/0 (SP)

CovinaDC015597 AHMED SAEED DDS INC661 S 2nd Ave, 91723‑3518626-966-35710/1 (SP)

DC032182 COLLEGE STREET FAMILY DENTAL GROUP153 W College St, 91723‑2008626-339-90850/1 (KO SP)

DC039353 COVINA DENTAL ARTS & ORTHODONTICS558 W Badillo St, 91722‑3762626-331-05065/1 (AM FR KO SP TA TR VI)

DC057366 Your Covina Family Dentistry675 S 2nd Ave, 91723‑3518626-966-31081/0 (AR RU SP)

DC058810 Wong Dental Corporation626 S 2nd Ave, 91723‑3517626-332-00131/0 (AR CA CH 12 PE RU SP TA VI)

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DC058966 Sylvia Salem DDS Inc650 S 1st Ave, 91723‑3538626-332-73111/0 (AR SP)

DC061109 Covina Family & Cosmetic Dentistry Inc4708 N Grand Ave, 91724‑2005626-332-86081/0 (SP TA)

DC061703 Western Dental Services Inc1453 N Azusa Ave Ste F4, 91722‑1201626-330-289424/0 (SP)

DC0C5901 COVINA DENTAL OFFICE1052 N Citrus Ave, 91722‑2739626-967-67671/0 (AR SP)

CudahyDC025191 ST JAMES DENTAL GROUP7607 Atlantic Ave, 90201‑5019323-771-72541/0 (SP)

DC063205 Western Dental Services Inc7903 Atlantic Ave Ste G, 90201‑5926323-773-22005/0 (SP)

Culver CityDC005952 ALL CARE DENTAL4310 Overland Ave, 90230‑4117310-837-80871/0

DC013514 CULVER CITY FAMILY DENTISTRY4909 Sepulveda Blvd, 90230‑5264310-313-31001/0 (SP)

DC053860 Smile Comfort Dental9702 Venice Blvd Ste A, 90232‑2717310-895-98851/0 (AR AM CH 12 RU SP TA)

CypressDC015308 CYPRESS DENTAL GROUP9922 Walker St Ste C, 90630‑3097714-220-03541/0 (HE SP)

DC044443 FAMILY DENTISTRY GAMAL TEWFIK6334 Lincoln Avenue, 90630‑5811714-527-18010/1 (AR SP)

DC062221 Cypress Modern Smiles6897 Katella Ave, 90630‑5107714-952-30441/0 (SP VI)

Dana PointDC019004 DANA POINT DENTAL GROUP34080 Golden Lantern St Ste 201, 92629‑2679949-661-56640/2 (KO SP)

Del MarDC007272 DEL MAR PROFESSIONAL DENTAL GROUP13983 Mango Dr Ste 106, 92014‑3146858-792-66620/1

DC036821 DELMAR DENTISTRY CENTER318 9th St Ste C, 92014‑2805858-259-91291/0 (TR)

DC059759 Promenade Dentistry Dental Group2710 Via De La Valle Ste B250, 92014‑1931858-703-10121/0 (SP)

DelanoDC013857 LETICIA TOLENTINO DMD INC1625 Cecil Ave # A, 93215‑1515661-725-93931/0 (13 SP TA)

DC049580 WESTERN DENTAL SERVICES730 Woollomes Ave Ste 101, 93215‑9506866-415-195831/0 (SP)

Diamond BarDC035451 DIAMOND BAR SMILES2841 S Diamond Bar Blvd Ste B, 91765‑3473909-860-62325/1 (SP)

DC042787 DIAMOND DENTAL GROUP DIAMOND BAR20657 Golden Springs Dr Ste 207, 91789‑3898909-595-82880/2 (AR CH SP)

DC047663 RITCHIE PARK DDS INC1155 S Diamond Bar Blvd Ste B, 91765‑2235909-396-44351/0

DC198101 GRAND AVENUE DENTISTRY1111 Grand Ave Ste G, 91765‑2227909-860-58540/1 (HI KO SP)

DowneyDC000646 PLANET DENTAL8843 Rosecrans Ave Ste A, 90242‑5286562-633-93002/0 (KO SP TA)

DC023299 MEHREGAN DENTAL CORPORATION10558 Paramount Blvd, 90241‑2405562-869-20912/0 (SP)

DC033113 KENNETH W CHENG DDS8029 Imperial Hwy, 90242‑3713562-862-69790/1 (KO 12 SP)

DC034386 FARNAZ HAYAVI DDS8301 Imperial Hwy, 90242‑3830562-862-57771/0 (AM KO SP VI)

DC044946 DR. ZAK DOWNEY DENTAL CARE10501 Lakewood Blvd Ste A‑B, 90241‑2709562-862-234110/2 (RO SP)

DC046676 WESTERN DENTAL SERVICES INC9906 Imperial Hwy, 90242‑3207562-940-646368/0 (CH HI 12 PE SP)

DC056608 Downey Promenade Dental Group8998 Apollo Way, 90242‑4030562-441-72127/0

DC059037 Downey Dental Center8515 Florence Ave Ste 200, 90240‑4043562-869-45323/0 (CA CH SP)

DC059057 Bright Now! Dental‑Downey8612 Firestone Blvd, 90241‑5243562-382-152811/0 (SP)

DC059291 Downey Dental Arts8077 Florence Ave Ste 107, 90240‑3981562-928-69001/0 (SP)

DC062393 The Downey Dentist7825 Florence Ave Ste B, 90240‑3976562-746-03501/0 (SP)

DC062476 All Kids Dental Care9474 Firestone Blvd, 90241‑5504562-803-422410/0 (AR AM CA CH KO 12 RU SP)

DuarteDC039750 DUARTE FAMILY DENTAL1217 Buena Vista St Ste 202, 91010‑2413626-357-22541/0 (PE SP)

EarlimartDC063123 United Health Centers of the San Joaquin Valley476 E Washington, 93219661-849-27812/0 (SP)

EastvaleDC011174 GATEWAY DENTAL GROUP & ORTHODONTICS12571 Limonite Ave Ste 230, 91752‑3677951-360-34444/1 (SP)

DC011787 BRIGHT NOW! DENTAL12636 Limonite Ave Ste 1A and 1B, 92880‑4200951-808-432320/1

DC060993 Eastvale Smiles Dentistry13334 Limonite Ave Ste 120, 92880951-228-92942/0 (SP)

El CajonDC029203 EL CAJON FAMILY DENTAL2720 Fletcher Pkwy, 92020‑2110619-466-12921/0 (AR SP)

DC036104 RSD DENTAL GROUP AND ORTHODONTICS2907 Jamacha Rd Ste B, 92019‑4342619-660-24244/2 (SP)

DC038229 BRIGHT NOW! DENTAL RANCHO2502 Jamacha Rd, 92019‑4364619-212-795911/0

DC043648 DENTAL ARTS GROUP707 Arnele Ave, 92020‑2501619-444-10011/0 (JA RU SP TA)

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DC046647 WESTERN DENTAL SERVICES INC583 N 2nd St, 92021‑6449619-440-622237/0 (SP)

DC050225 LIFE SMILES DENTAL CARE1530 Hilton Head Rd Ste 111, 92019‑4655619-441-80001/0 (AR SP)

DC062403 Steele Canyon Smiles and Orthodontics2990 Jamacha Rd Ste 132, 92019‑4320619-670-17005/0

DC062738 CitiDental Rancho2451 Jamacha Rd Ste 104, 92019‑4324619-444-05002/0 (AR)

DC062882 SmilePlus Dentistry‑El Cajon1242 East Main St., 92021619-444-63553/0 (AR SP)

DC063807 Brenda Evans Louka DDS Inc APC1276 E Washington Ave, 92019‑3036619-440-92111/0 (AR SP)

El CentroDC036308 WESTERN DENTAL SERVICES1450 N Imperial Ave, 92243‑1314760-370-395022/9 (HI)

DC063682 El Centro Dental852 E Danenberg Dr, 92243‑8511760-344-99512/0 (SP)

El MonteDC002096 EASTERN LOS ANGELES DENTAL12015 Garvey Ave Ste A, 91732‑3156626-454-18881/0 (CH SP)

DC003785 CENTRAL DENTAL GROUP12072 Valley Blvd, 91732‑3137626-527-22000/1 (CA CH 12 SP VI)

DC012851 ALFONSO MARTINEZ DDS11733 Valley Blvd, 91732‑3073626-575-75651/0 (SP)

DC019551 SUNSHINE DENTAL GROUP4161 Tyler Ave, 91731‑1966626-579-42741/0 (SP)

DC020419 SWE DENTISTRY10354 Garvey Ave Ste B, 91733‑2133626-350-83660/1 (SP)

DC022740 DR BERI DENTAL OFFICE10496 Garvey Ave, 91733‑2265626-442-56780/1 (HI SP)

DC053109 Western Dental Services Inc11450 Valley Blvd, 91731‑3230626-532-144249/0 (SP)

DC059553 COMFORT DENTAL GROUP10012 Garvey Ave Ste 11, 91733‑2086626-433-13002/0 (AM SP)

DC061600 626 Dental Care4900 Peck Rd, 91732‑1422626-579-51581/0 (CA CH 12 SP)

DC062051 Atlantic Pacific Smile Group of El Monte11230 Garvey Ave Ste H, 91733‑2475626-401-12352/0 (CH 12 SP)

DC063264 Serenity Dental10811 Garvey Ave, 91733‑2301626-442-61151/0 (SP TR)

El SegundoDC059937 El Segundo Modern Dentistry & Orthodontics310 E Grand Ave Ste 102, 90245‑3871424-277-11381/0 (SP)

EncinitasDC014605 CAMINO DENTAL GROUP1340 Encinitas Blvd Ste 100, 92024‑2844760-942-39003/3 (SP)

DC034728 NCH DENTAL477 N El Camino Real Ste C210, 92024‑1355760-943-88801/0 (KO SP)

DC054308 Encinitas Dental Wellness285 N El Camino Real Ste 216, 92024‑5385760-753-12271/0

DC057607 Encinitas Smiles Dentistry Dental Group415 Santa Fe Dr, 92024‑5134760-388-21614/0

EncinoDC017619 MOSHE ABRAMOVICI DDS16550 Ventura Blvd Ste 403, 91436‑5025818-986-08980/0 (HE RO RU)

DC019961 ENCINO DENTAL ESTHETICS17525 Ventura Blvd Ste 100, 91316‑5100818-784-78321/0 (SP)

DC023865 ENCINO COSMETIC DENTAL GROUP16133 Ventura Blvd Ste 1100, 91436‑2415818-906-22221/0 (SP)

DC032956 DANIEL TEBBI DMD16661 Ventura Blvd Ste 620, 91436‑4812818-789-20341/0 (SP)

DC053505 Encino Smile Care15720 Ventura Blvd Ste 300, 91436‑2922818-788-66841/0

DC058024 Encino Family Dental Group15720 Ventura Blvd Ste 322, 91436‑2993818-788-70601/0 (FR RU SP)

DC059728 PARTOVY PROFESSIONAL DENTAL GROUP16055 Ventura Blvd Ste 400, 91436‑2608818-990-04001/0 (AM RU SP)

DC061700 All About Smile Dental Group16133 Ventura Blvd Ste 1120, 91436‑2415818-788-06512/0 (FR SP TA VI)

DC164601 DAN ROSEN DDS16542 Ventura Blvd Ste 505, 91436‑4576818-907-67361/0

DC179901 RENE GHOTANIAN DDS5363 Balboa Blvd Ste 346, 91316‑2836818-990-35511/0 (AM SP)

DC184401 ENCINO DENTAL CENTER17815 Ventura Blvd Ste 101, 91316‑3637818-708-12001/0 (HE SP)

EscondidoDC005132 GENTLE DENTAL‑DEL LAGO3440 Del Lago Blvd Ste C, 92029‑7430760-746-87771/0 (GE SP)

DC007041 ESCONDIDO DENTAL GROUP403 W Felicita Ave, 92025‑6517760-233-22600/1 (SP)

DC034863 BRIGHT NOW DENTAL ESCONDIDO1286B Auto Park Way, 92029‑2232760-705-946419/0

DC036286 WESTERN DENTAL SERVICES1468 E Valley Pkwy, 92027‑2314760-480-870037/9 (AR RU SP)

DC036836 BRIGHT NOW DENTAL501 W Felicita Ave Ste 101, 92025‑5639760-705-315016/0

DC040743 ESCONDIDO SMILES DENTAL GROUP860 W Valley Pkwy Ste 100, 92025‑2534760-745-15853/1 (SP)

DC045918 MAPLE STREET DENTAL GROUP327 S Maple St, 92025‑4122760-745-25501/0 (SP)

DC055994 NC Dental Specialties1356 W Valley Pkwy Ste K, 92029‑2138760-233-58871/0

DC056975 Leilani S Alarcon DDS Inc925 E Pennsylvania Ave Ste D, 92025‑3432760-747-31401/0 (SP TA)

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53

DC060116 NC Family Dental1018 W El Norte Pkwy, 92026‑3341760-740-25951/0 (SP)

DC063170 Escondido Valley Braces913 E Valley Pkwy, 92025‑3428760-233-23331/0 (SP)

DC063960 Escondido Dental Arts202 S Juniper St, 92025‑4221706-306-44662/0 (PE RU SP)

DC154801 EL NORTE FAMILY DENTAL306 W El Norte Pkwy Ste D, 92026‑1960760-480-56000/1 (HI JA SP)

DC191801 FAMILY CARE DENTAL1114 W Valley Pkwy, 92025‑2559760-738-10700/1 (SP TA VI)

DC196901 VILLAGE DENTAL CENTER8895 Lawrence Welk Dr, 92026‑6407760-749-75001/0 (SP)

FontanaDC007661 DR VORAS GATEWAY DENTAL OFFICE15032 Summit Ave Ste 410, 92336‑5393909-899-39401/0 (HI SP)

DC014116 TRIANGLE DENTAL GROUP14305 Baseline Ave, 92336‑3631909-355-17005/2 (SP)

DC015612 VAHAN GRIGORYAN DDS7993 Sierra Ave Ste D, 92336‑3330909-428-51111/0 (AM RU SP TA)

DC017952 BRIGHT NOW! DENTAL16135 Sierra Lakes Pkwy Ste 200, 92336‑1253909-356-200623/1 (SP)

DC021056 SIERRA LAKES DENTAL GROUP16475 Sierra Lakes Pkwy Ste 140, 92336‑1259909-357-08699/1 (SP)

DC030621 GUPTAS’S DENTAL GROUP16049 Baseline Ave Unt 3, 92336‑1830909-356-97522/0 (HI SP)

DC033532 SIERRA PARKWAY DENTAL CARE16953 Sierra Lakes Pkwy Ste 110, 92336‑1272909-357-39000/1 (HI SP)

DC058478 Western Dental Center10144 Sierra Ave, 92335‑6725909-428-050078/0 (FR PE SP)

DC059020 Young Kwun Kim DDS Inc8110 Mango Ave Ste 101, 92335‑3603909-829-93241/0 (KO SP)

DC062273 Sierra Dental Health9190 Sierra Ave Ste 101, 92335‑8613909-356-42001/0 (SP VI)

DC062789 Dentists of Fontana Dental Group16944 S Highland Ave Ste 400, 92336‑3464909-275-71792/0 (SP)

DC325201 GUPTA DENTAL CORPORATION11623 Cherry Ave Ste B2, 92337‑1212909-355-14851/0 (HI PE SP)

Foothill RanchDC019421 TOWNE CENTRE DENTAL GROUP45 Auto Center Dr Ste 110, 92610‑2848949-588-59062/2 (HI SP)

Fountain ValleyDC036364 BRIGHT NOW DENTAL18633 Brookhurst St, 92708‑6748714-274-422213/1

DC058403 Fountain Valley Dental Esthetics17900 Brookhurst St Ste A, 92708‑5141714-887-43372/0 (SP VI)

DC060004 Dental Arts11703 Edinger Ave, 92708‑1208714-775-19341/0 (CH SP VI)

DC060643 Andreea Moisiuc DDS Inc17037 Brookhurst St Ste 4, 92708‑3623714-962-23001/0 (RO SP VI)

DC061998 Medical Center Dental Group11160 Warner Ave Ste 303, 92708‑4055714-557-84921/0

Fountain VlyDC002516 DAVID COHEN DDS11180 Warner Ave Ste 451, 92708‑7505714-444-44281/0 (SP)

DC384201 QUALITY DENTAL CARE17150 Euclid St Ste 322, 92708‑4092714-444-42241/0 (AR SP)

FullertonDC003989 NEWPORT DENTAL1718 W Orangethorpe Ave, 92833‑4538714-525-385511/0 (SP)

DC004716 US DENTAL GROUP1441 Brea Blvd, 92835‑3507714-992-03001/0 (AR AM PE SP)

DC010101 FULLERTON DENTAL CENTER446 E Commonwealth Ave, 92832‑2019714-680-67671/1 (KO SP)

DC015258 SUNSHINE DENTAL506 W Commonwealth Ave, 92832‑1723714-738-77771/0 (SP)

DC033363 FULLERTON FAMILY DENTAL906 W Orangethorpe Ave, 92832‑2827714-871-39003/0 (AR CA FinnishFR GE KO 12 SP TA)

DC043707 FULLERTON DENTAL ART717 N Placentia Ave, 92831‑3289714-577-01050/1 (HI SP)

DC047625 FULLERTON DENTAL GROUP1573 S Harbor Blvd, 92832‑3402714-441-01315/0 (SP)

DC056743 Eric C Chiang DDS100 N State College Blvd Ste E, 92831‑4236714-738-84521/0 (12 SP)

DC058520 Western Dental‑Fullerton1620 S Harbor Blvd Ste A, 92832714-294-706646/0 (SP)

DC063381 Selenite Dental508 S Harbor Blvd, 92832‑2411714-770-04551/0 (AR SP)

DC183601 NANDINI MURTHY DDS607 E Chapman Ave, 92831‑3803714-774-26380/1

Garden GroveDC011701 CENTURY DENTAL CARE13011 Century Blvd, 92843‑1209714-534-70201/0 (KO SP VI)

DC055976 Peach Dental12462 Brookhurst St Ste C, 92840‑4759714-638-74701/0 (AR FR KO SP TA VI)

DC056098 Garden Grove Dental Care12630 Brookhurst St Ste B, 92840‑4886714-530-49201/0 (AR HE SP VI)

DC059432 Western Dental Services Inc12141 Garden Grove Blvd, 92843‑1628714-530-980123/0

DC061969 My OC Dental Care13732 Euclid St, 92843‑3419714-530-09211/0 (CH SP)

DC062097 Joeun Dental Group9872 Chapman Ave Ste 102, 92841‑2718714-539-89473/0 (KO SP)

DC062247 Coastal Dental Care10044 Westminster Ave, 92843‑4721714-539-70702/0 (CH SP VI)

GardenaDC001813 CITY DENTAL CENTER1300 W 155th St Ste 208, 90247‑4061310-715-27230/1 (SP)

DC057457 Gardena Dental Care1600 W Redondo Beach Blvd Ste 203, 90247‑3228310-808-01981/0 (SP)

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DeltaCare® USA

DC063926 Western Dental Services Inc15515 S Normandie Ave, 90247‑4013310-953-09005/0

DC173301 PLAZA DENTAL14240 S Vermont Ave, 90247‑2208310-515-55111/0 (SP)

GlendaleDC001666 ALENOUSH BAGDASARYAN DDS457 Palm Dr Ste 100, 91202‑3221818-956-37331/0 (AM FR PE)

DC003132 ARTEMIS SARADJIAN DDS205 S Verdugo Rd # A, 91205‑1424818-244-49492/0 (AR AM SP)

DC012933 CARMEN OHANIAN DDS1110 N Brand Blvd Ste 201, 91202‑2567818-244-02151/0 (AM RU)

DC013449 TOWN CENTER DENTISTRY316 E Broadway Ste A, 91205‑1011818-548-77001/0 (AM CA CH 12 RU SP)

DC023481 GLENDALE PREMIER DTL CENTER819 N Pacific Ave, 91203‑1027818-240-17601/1 (AR AM HE RU SP)

DC028405 STARLIGHT DENTAL GROUP207 N Central Ave, 91203‑2510818-243-88881/0 (AM SP)

DC035753 IRINA M SAHAKI DDS520 E Broadway Ste 402, 91205‑4912818-241-24241/0 (AM KM FR PE RU)

DC053763 Armen Manssourian DMD1122 N Brand Blvd Ste 102, 91202‑2570818-242-26672/0 (AM SP)

DC058594 Comfort Care Glendale1134 N Brand Blvd, 91202‑2504818-246-22532/0 (AM SP)

DC060192 Verdugo Hills Dental Group3600 N Verdugo Rd Ste 302, 91208‑1258818-839-74751/0 (AM SP)

DC062582 Dentists of Glendale Dental Group3900 San Fernando Rd Ste 1017A, 91204‑2858818-528-48442/0 (SP)

DC063843 Broadway Dental727 E Broadway, 91205‑1103818-240-58882/0 (CH SP)

DC235901 JOHN YEKIKIAN DDS1128 N Brand Blvd, 91202‑2504818-242-47031/0 (AM FR PE SP)

GlendoraDC013849 SHAWKY SOLIMAN DDS INC150 S Grand Ave Ste F, 91741‑4720626-914-31501/0 (AR SP)

DC016959 WOODGLEN DENTAL CENTER220 S Glendora Ave Ste B, 91741‑3439626-914-40540/1 (AR SP)

DC021055 GLENDORA SMILES DENTISTRY AND ORTHODONTICS DENTAL605 W Route 66, 91740‑4122626-771-13207/1 (AR AM KO 12 SP)

DC036537 NEW VISION DENTAL1814 E Route 66 Ste B, 91740‑3869626-963-70001/0 (SP VI)

DC043851 FOOTHILL FAMILY DENTAL GROUP210 S Grand Ave Ste 420, 91741‑4294626-963-33222/0 (AR AM FR PE SP)

DC054957 Glendora Dental Arts1343 E Gladstone St Ste 204, 91740‑6717909-592-14321/0

DC055400 Advanced Dental Smiles455 W Foothill Blvd, 91741‑3363626-914-98081/0 (CH SP VI)

DC061110 Downtown Dental1435 E Route 66 Ste D, 91740‑3748626-914-39001/0 (AR AM SP)

DC061718 Glendora Dental Center610 E Route 66, 91740‑3507626-335-77273/0 (AR FR GE SP TA TA)

GoletaDC041299 WESTERN DENTAL SERVICES5680 Calle Real, 93117‑2317805-979-315522/1 (SP)

DC061833 Johnson Family Dental‑Goleta7050 Hollister Ave Ste 101, 93117‑2811805-695-338815/0 (SP)

Granada HillsDC020519 BALBOA DENTAL GROUP11850 1/2 Balboa Blvd, 91344‑2753818-360-19469/1

DC038230 MISSION HILLS DENTAL10515 Balboa Blvd Ste 250, 91344‑6361818-365-86001/0 (SP)

DC039080 KAMRAN RAFIE DDS17656 Chatsworth St, 91344‑5601818-363-02001/1 (SP)

DC043477 BRIGHT NOW DENTAL18121 Chatsworth St, 91344‑5610818-491-005620/0 (PE SP)

DC054785 Granada Hills Family Dental16917 Devonshire St, 91344818-360-09571/0 (RU SP)

DC320001 JOHN BOSAK DMD10727 White Oak Ave Ste 213, 91344‑4656818-368-56761/0 (SP)

Hacienda HtsDC023805 TRI‑CITY SMILES DENTISTRY AND ORTHODONTICS17188 Colima Rd Ste B, 91745‑6787626-581-78783/1 (SP)

HanfordDC036358 WESTERN DENTAL SERVICES1560 Lacey Blvd # 107, 93230‑9305559-589-630229/8 (SP)

DC036586 WESTERN DENTAL SERVICES210 N 11th Ave Ste 101, 93230‑4591559-585-217032/9 (SP)

Harbor CityDC2C9101 BAY HARBOR DENTAL OFFICE1537 Lomita Blvd, 90710‑2024310-530-52521/0 (SP)

Hawaiian GdnsDC013434 NEWPORT DENTAL‑HAWAIIAN GARDENS21714 Pioneer Blvd, 90716‑1236562-421-373715/1 (SP)

HawthorneDC003889 SANTA MARIA DENTAL OFFICE11938 Hawthorne Blvd, 90250‑3016310-973-09451/0 (SP)

DC015649 CASTLE DENTAL CENTERS13220 Hawthorne Blvd, 90250‑5804310-679-901917/0

DC030248 ALL KIDS DENTAL CARE13340 Hawthorne Blvd, 90250‑5805310-973-80041/0

DC055903 Blue Dental Group12923 Inglewood Ave Ste 3, 90250‑5139310-263-10303/0 (AR AM HI KO PE RU SP TA TR VI)

DC057949 Western Dental Services Inc14248 Hawthorne Blvd, 90250‑7008310-978-297351/0

HemetDC012150 HEMET DENTAL GROUP AND ORTHODONTICS4000 W Florida Ave, 92545‑5279951-658-99808/2 (SP)

DeltaCare® USA

55

DC016801 BRIGHT NOW! DENTAL2721 W Florida Ave, 92545‑4616951-925-222615/2 (SP TA VI)

DC036130 BRIGHT SMILE DENTISTRY1020 E Florida Ave, 92543‑4511951-765-12340/1 (AR SP)

DC046075 HEMET SMILES1001 S State St Ste B, 92543‑7188951-658-61001/0 (SP)

DC047375 WESTERN DENTAL SERVICES INC2091 W Florida Ave Ste 100, 92545‑4800951-929-058265/0 (SP)

DC059686 West Coast Dental Group of Hemet3027 W Florida Ave P1, 92545‑3617951-791-91117/0 (AR AM CA KO PE PT SP)

DC061691 Bravo Dental of Hemet1300 E Florida Ave # A20, 92544‑8640951-765-55441/0 (AR SP)

DC062533 Hemet Modern Dentistry Dental Group1115 S Sanderson Ave, 92545‑9047951-404-53071/0 (SP)

Hermosa BeachDC046274 HERMOSA SMILES DENTISTRY1559 Pacific Coast Hwy Ste 101, 90254‑3214310-372-76869/0

HesperiaDC013688 GENTLE DENTAL16455 Main St Ste 17, 92345‑3505760-244-60772/0

DC018517 BRIGHT NOW DENTAL17003 Bear Valley Rd Ste D, 92345‑1420760-244-190013/0

DC026917 HIGH DESERT SMILES DENTISTRY12821 Main St Ste 150, 92345‑9130760-947-98536/2

DC043394 RADIANT DENTAL15398 Main St Ste A, 92345‑3391760-949-72111/0 (SP)

DC058268 Eagle Dental12052 Hesperia Rd Ste 4, 92345‑1808844-563-24531/0 (CH SP)

DC062354 Desert Dentist14661 Main St, 92345‑3308760-244-50473/0 (KO SP)

DC063514 Western Dental Services Inc13368 MAIN ST STE 300, 92345‑4730760-810-41188/0 (SP)

DC391001 DESERT VALLEY DENTAL GROUP16868 Main St, 92345‑6030760-244-26258/0 (SP)

HighlandDC016135 INLAND DENTAL CENTER HIGHLAND6982 Boulder Ave, 92346‑3328909-862-21211/1 (SP)

DC027405 HIGHLAND DENTAL GROUP AND ORTHODONTICS27949 Greenspot Rd Ste H, 92346‑4444909-864-60106/3 (SP)

HollywoodDC175401 SAMI NOUHAD DDS7080 Hollywood Blvd Ste 817, 90028‑6935323-466-35411/0 (AR SP)

Huntington BeachDC000185 LINA MUSLEH DDS19754 Beach Blvd, 92648‑2989714-964-88301/0 (SP)

DC003093 BEACH DENTAL GROUP19720 Beach Blvd Ste A, 92648‑2987714-593-10106/1 (SP)

DC011891 PEARLY WHITE DENTAL16474 Bolsa Chica St, 92649‑2603714-377-37361/0 (AR AM CH FR PL SP TA VI)

DC015581 HARBOUR LANDING DENTAL4911 Warner Ave Ste 202, 92649‑4473714-846-44140/1 (AR KO 12 SP)

DC029634 COSMETIC & DENTAL IMPLANT CENTER19080 Brookhurst St, 92646‑2552714-968-25270/1 (SP VI)

DC030941 BIG DENTAL GROUP18682 Beach Blvd Ste 100, 92648‑2049714-968-35221/1 (AR SP TR VI)

DC042025 HUNTINGTON BEACH DENTAL OFFICE15047 Goldenwest St, 92647‑2710714-898-44251/0

DC047468 SUBODH SWAROOP DDS INC9952 Hamilton Ave, 92646‑8016714-593-02562/0 (SP)

DC052189 Hunting Beach Modern Dentistry16071 Goldenwest St, 92647714-536-23839/0 (SP)

DC054114 Celine T. Pham19059 Bushard St, 92646‑2431714-964-20401/0 (SP VI)

DC055328 Allure Dental Specialist18593 Beach Blvd Ste B, 92648‑2053714-581-89891/0 (IT SP TA TA VI)

DC059015 Noleen Nguyen DDS Inc16903 Beach Blvd, 92647‑4808714-375-00441/0 (SP VI)

DC060733 Safari Dental & Implants16511 Goldenwest St Ste 101, 92647‑4484714-848-92001/0 (GE SP)

DC062583 HB Kids Dentistry Dental Group9842 Adams Ave Ste 101, 92646‑4827714-823-38301/0 (SP)

DC062629 Seascape Cosmetic and Implant Dentistry18632 Beach Blvd Ste 115, 92648‑2047714-636-97002/0 (SP)

DC063542 Dental Associates of Huntington Beach5942 Edinger Ave Ste 101, 92649‑1774714-377-44491/0 (SP)

DC063779 Cardinal Dental19365 Main St Ste 108, 92648‑2483949-393-29991/0 (AM 14)

DC200701 BEACHSIDE DENTAL GROUP18800 Main St Ste 110, 92648‑1717714-842-61512/1 (AR CH FR HE HI 12 RU SP TA VI)

Huntington ParkDC002376 HUNTINGTON PARK FAMILY DENTAL2711 E Slauson Ave, 90255‑3002323-582-44741/0 (AR AM CH SP)

DC052410 Hamid Imankhan DDS Inc2634 Clarendon Ave, 90255‑4120323-585-27772/0 (FR SP)

DC058823 HP Dental Group5802 Pacific Blvd, 90255‑2618323-583-16443/0 (KO SP)

DC060133 Smiles West Dental and Braces of Huntington Park5501 Pacific Blvd, 90255‑2534323-586-06007/0 (AR AM CH FR JA KO 12 PE PL SP TA TH VI)

DC060946 Total Care Dental and Orthodontics2630 Zoe Ave, 90255‑4132323-230-63663/0 (AR AM CH FR HI KO PL RU SP)

DC062485 Mi Sonrisa Dental Group7208 Pacific Blvd Ste 200, 90255‑5770323-582-22001/0 (SP)

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DC270201 KIMS FAMILY DENTISTRY7601 Seville Ave, 90255‑6029323-587-66001/0 (KO SP)

Huntington PkDC053100 Western Dental Services2630 E Gage Ave, 90255‑4122323-587-178845/0 (SP)

HuronDC063113 United Health Centers of the San Joaquin Valley16928 11th St, 93234559-945-25411/0 (SP TA)

ImperialDC185301 SUN DENTAL OFFICE OF DR CERVANTES2387 US Highway 86, 92251‑9780760-353-51001/0 (SP)

Imperial BeachDC024542 IMPERIAL BEACH DENTAL GROUP1340 Imperial Beach Blvd Ste 201, 91932‑3046619-429-66001/0 (SP)

IndioDC017293 GENTLE DENTAL INDIO81557 Doctor Carreon Blvd Ste D3, 92201‑5563760-998-15691/2 (AR CS SP)

DC017508 MATT T JAM DDS81730 US Highway 111 Ste 8, 92201‑5441760-347-75051/0 (SP)

DC021202 INLAND DENTAL CENTER44100 Jefferson St Ste D404, 92201‑2714760-772-02147/0 (AR SP VI)

DC023264 TOWN & COUNTRY DENTAL81637 US Highway 111 Ste 1, 92201‑5439760-342-14480/1 (SP)

DC050205 BRIGHT NOW! DENTAL ‑ INDIO42250 Jackson St Ste 102, 92203‑9783760-238-40119/0

DC050207 WESTERN DENTAL SERVICES INC81735 US Highway 111 Ste A, 92201‑0715760-391-446646/0 (SP)

DC061661 Indio Modern Dentistry Dental Group82151 Avenue 42 Ste 110, 92203760-255-75972/0 (SP)

DC062098 Pacific Wave Dental45841 Oasis St Ste 3, 92201‑4505760-289-71161/0 (SP)

InglewoodDC021677 LAX DENTAL GROUP4201 W Century Blvd, 90304‑1617310-981-90002/0 (SP)

DC029202 EMMANUEL N OKONKWO DDS2710 W Manchester Blvd Ste 3, 90305‑2436323-971-50251/0 (IboSP)

DC041271 NEWHART DENTAL INC3516 W Imperial Hwy, 90303‑2222310-677-91013/1 (SP)

DC045739 INGLEWOOD FAMILY DENTISTRY327 W Manchester Blvd, 90301‑1107310-491-28721/0 (SP)

DC057955 Western Dental Center3561 W Centruy Blvd Ste D, 90303323-483-704132/0 (SP)

DC062261 Crown Dental1295 S La Brea Ave Ste 101, 90301‑0972310-672-01291/0 (SP)

IrvineDC000596 MALEK MANSOUR DDS22 Odyssey Ste 265, 92618‑7701949-585-15152/0 (AR FR)

DC000757 DR AMIR SADJADI DMD PC4950 Barranca Pkwy Ste 304, 92604‑4631949-861-84411/0 (CH FR LO PE SP)

DC002410 ART OF DENTISTRY INSTITUTE2646 Dupont Dr Ste 200, 92612‑1689949-955-33661/0 (HI IT SP)

DC002461 ROYA TOOMARIAN DDS16520 Bake Pkwy Ste 155, 92618‑4694949-786-06401/0

DC013086 DENTAL CARE OF IRVINE4330 Barranca Pkwy Ste 230, 92604‑4756949-786-12341/0 (KO SP)

DC017914 GENTLE DENTAL4950 Barranca Pkwy Ste 105, 92604‑4630949-551-42425/0 (CA HI 12 SP VI)

DC019892 OC DENTAL GROUP14130 Culver Dr Ste C, 92604‑0321949-653-88880/1 (AR FR 12 SP TA)

DC034743 IRVINE SMILE ARTS DENTISTRY14150 Culver Dr Ste 204, 92604‑0322949-726-10011/0 (HI)

DC034769 UNIVERSITY PARK DENTAL5321 University Dr Ste A, 92612‑2942949-653-22441/0 (FR SP)

DC040898 WALNUT DENTAL GROUP & ORTHODONTICS14415 Culver Dr, 92604‑0305949-733-04865/1 (SP)

DC042097 SEDATION & IMPLANT DENTISTRY113 Waterworks Way Ste 220, 92618‑3176949-727-07770/1 (SP)

DC042860 ALTON IMPLANT CENTER5405 Alton Pkwy Ste F, 92604‑3719949-262-03001/0 (HI SP)

DC044965 MANAL AZIZ DDS INC14150 Culver Dr Ste 205, 92604‑0323949-559-65652/0 (AR)

DC047026 THE DENTAL OFFICE ON RED HILL17010 Red Hill Ave Ste D, 92614‑5626949-975-01505/0

DC048933 GREEN DENTAL113 Waterworks Way Ste 130, 92618‑3168949-502-51001/0 (SP)

DC055967 Dent‑All By Dr 215362 Alton Pkwy, 92618‑2362949-447-50501/0 (AR SP)

DC059297 Formosa Dental Arts14200 Culver Dr Ste 290, 92604‑0329949-679-16371/0 (CH 12)

DC061621 Western Dental Services Inc14370 Culver Dr Ste A, 92604‑0319949-733-343311/0

DC061710 BON DENTAL4330 Barranca Pkwy Ste 140, 92604‑1703949-523-28751/0 (KO)

DC063284 Dentists of Irvine Dental Group5685 Alton Pkwy, 92618‑4059949-236-65272/0 (SP)

DC339901 FARZAD SHAYGAN DDS4040 Barranca Pkwy Ste 140, 92604‑4773949-559-73001/0 (SP)

Jurupa ValleyDC063511 Western Dental Services Inc4834 Etiwanda Ave Ste 200, 91752‑1823951-688-710612/0 (SP)

La CanadaDC053724 Tina Ghotanian DDS1370 Foothill Blvd Ste 102, 91011‑2150818-864-69901/0 (SP)

La Canada FlintridgeDC046681 LA CANADA SMILES DENTISTRY DENTAL GROUP2220 Foothill Blvd Ste A, 91011‑1413818-248-10216/0

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La CrescentaDC015841 FAMILY DENTISTRY3157 Foothill Blvd Ste A, 91214‑4247818-541-97240/1 (AM RU SP)

DC018881 NINA SONIN DDS3043 Foothill Blvd Ste 5, 91214‑2773818-542-30390/1 (RU SP)

La HabraDC002721 CHESTER JENG DDS INC744 W La Habra Blvd, 90631‑5313562-691-07380/1 (CA CH 12 SP)

DC009542 HARBOR DENTAL CARE1150 E Imperial Hwy, 90631‑7454714-992-22000/1 (KO SP)

DC025175 AKSHAR DENTAL1281 E La Habra Blvd Ste 4, 90631‑5661562-697-37881/0 (HI SP)

DC029119 LA HABRA SMILES DENTAL1250 W Whittier Blvd, 90631‑3611562-266-92770/1 (SP)

DC031239 KYUNG YU DDS1370 S Beach Blvd Ste E, 90631‑1178562-694-58501/0 (KO SP)

DC035596 LA HABRA MODERN DENTISTRY AND ORTHODONTICS1701 W Imperial Hwy Ste B, 90631‑0604562-690-57292/1 (SP)

La JollaDC013282 LA JOLLA DENTAL ARTS7540 Fay Ave, 92037‑4839858-729-98081/0 (HI SP)

DC018814 GREY CUNNINGHAM DDS‑PROF CORP7300 Girard Ave Ste 206, 92037‑5138858-454-41140/1

DC040333 RENAISSANCE DENTAL CENTER4150 Regents Park Row Ste 320, 92037‑1417858-453-20701/0 (PT SP TA)

DC049651 LA JOLLA VILLAGE SMILES DENTISTRY AND IMPLANTS8657 Villa La Jolla Dr Ste 211, 92037‑8309858-272-22606/0

La MesaDC051050 PAUL H VAN HORNE DDS7200 Parkway Dr Ste 115, 91942‑1534619-463-58831/0

DC053128 Jeramel Jardin DDS8805 La Mesa Blvd, 91942‑5406619-741-83001/0 (TA)

DC054905 Great Smiles of La Mesa5208 Jackson Dr Ste 108, 91942‑7902619-466-44481/0 (SP)

DC056334 Rancho San Diego Dentists Dental Group3767 Avocado Blvd, 91941‑7301619-729-23235/0

DC056384 Affinity Dental La Mesa8881 Fletcher Pkwy Ste 325, 91942‑3194619-697-28002/0 (SP)

DC058439 La Mesa Modern Dental Group5620 Lake Murray Boulevard, 91942619-324-41952/0

DC062578 Smile Dental of San Diego5601 Grossmont Center Dr Ste 200, 91942‑3074619-462-22723/0 (KO SP)

DC266701 GENTLE DENTAL‑GROSSMONT5565 Grossmont Center Dr Ste 459, 91942‑3023619-464-33830/2 (GE KO SP TA VI)

La MiradaDC002493 IMPERIAL DENTAL15769 Imperial Hwy, 90638‑2510562-902-98983/0 (AM KO SP)

DC012760 NEW AGE DENTAL14545 Telegraph Rd, 90638‑1054562-777-11881/0 (SP)

DC013855 BEST CARE DENTAL15651 Imperial Hwy Ste 206, 90638‑1653562-947-25591/0 (KO SP)

DC058175 Family Dental Works15018 La Mirada Blvd, 90638‑4743714-521-68271/0 (FR SP VI)

DC058501 JOHN WESTERMEYER DDS11900 La Mirada Blvd Ste 7, 90638‑1337562-947-37611/0 (SP)

DC175301 LA MIRADA FAMILY DENTAL13922 Imperial Hwy, 90638‑1725562-926-70250/1 (SP)

DC359401 MAGDY & ALINA GAD12252 La Mirada Blvd, 90638‑1306562-943-01510/2 (AR CH SP)

La PuenteDC002085 SMILESWEST15448 Amar Rd, 91744‑2802626-498-89718/1 (AR AM CH FR JA KO PE PL PT SP TA TA TH)

DC003823 VIJAY PHARAR DDS17311 E Valley Blvd Ste B, 91744‑5696626-810-24441/0 (AR HI SP)

DC031436 FAIRGROVE FAMILY DENTISTRY15260 Fairgrove Ave, 91744‑1067626-968-47330/1 (CA CH 12 SP VI)

DC049321 CLINICA DENTAL DEL SOL1431 N Hacienda Blvd, 91744‑1133626-919-23151/0 (SP)

DC053113 Western Dental Service835 N Hacienda Blvd, 91744‑2809626-333-338458/0 (SP)

DC061635 K‑Care Dental Center13757 Amar Rd Ste A, 91746‑1692626-337-02301/0 (SP)

DC063114 La Puente Family Dentistry14285 Amar Rd, 91746‑2154626-917-93081/0 (SP)

La QuintaDC000631 LA QUINTA DENTAL GROUP78595 Highway 111 Ste 300, 92253‑2084760-771-03005/1 (SP)

DC019230 BRIGHT NOW DENTAL79255 Highway 111 # 1A1B, 92253‑8301760-771-120010/0

La VerneDC006423 LAVERNE DENTAL GROUP2216 Foothill Blvd, 91750‑2944909-392-38999/2 (SP)

DC041125 BRIGHT NOW DENTAL‑LAVERNE2497 Foothill Blvd Ste E, 91750‑3066909-451-032916/0

DC060006 Enayda M Enabe DDS2025 Foothill Blvd Ste B, 91750‑3560909-593-13471/0 (SP TA)

DC063386 La Verne Dental and Implant Center2488 Foothill Blvd Ste C, 91750‑3062909-596-11552/0 (AM SP)

Laguna BeachDC001503 LAGUNA BEACH DENTAL GROUP31796 Coast Hwy, 92651‑6974949-415-10201/1 (SP VI)

Laguna HillsDC004941 S C DENTAL CARE22972 Moulton Pkwy Ste 106, 92653‑1219949-770-30100/1 (SP)

DC014941 BRILLIANT SMILE23024 Lake Forest Dr Ste A, 92653‑1328949-716-71661/0

DC045447 TADROS DENTISTRY23141 Moulton Pkwy Ste 211, 92653‑1204949-916-05681/0 (AR PE SP)

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DC054185 Alicia Parkway Dental25401 Alicia Pkwy Ste J, 92653‑4958949-587-30101/0 (SP VI)

DC056970 Laguna Hills Family Dentistry23961 Calle De La Magdalena Ste 431, 92653‑3685949-588-75251/0 (SP)

DC058323 Loberg Professional Dental Center23141 Moulton Pkwy Ste 210, 92653‑1204949-586-19302/0 (SP)

DC062570 Dr Edward H Moussally24953 Paseo De Valencia Ste 23A, 92653‑4343949-916-46601/0

Laguna NiguelDC001925 LAGUNA NIGUEL DENTAL GROUP27901 La Paz Rd Ste D, 92677‑3932949-389-91955/1 (SP)

DC054520 Choice Dental Care30262 Crown Valley Pkwy Ste E, 92677‑2364949-363-00181/0 (SP VI)

DC057614 Niguel Family Dentistry30001 Crown Valley Pkwy Ste G, 92677‑1723949-495-42451/0 (AR CH SP)

DC063751 Laguna Surgical & Cosmetic Specialist28202 Cabot Rd Ste 420, 92677‑1273949-347-99901/0 (SP)

DC170601 RANCHO NIGUEL DENTAL GROUP30140 Town Center Dr, 92677‑2037949-249-41802/0 (FR SP)

DC304801 SOBHI BATNIJI DDS30231 Golden Lantern Ste D, 92677‑5989949-363-12000/1 (AR FR)

Laguna WoodsDC052477 Leisure Dental24102 El Toro Rd Ste A, 92637949-830-65106/0 (SP)

Lake ElsinoreDC015327 MARKETPLACE DENTAL GROUP29273 Central Ave Ste A, 92532‑2254951-245-86644/1 (SP)

DC017778 OAK GROVE DENTAL GROUP18285 Collier Ave Ste B, 92530‑2786951-471-00345/2 (SP)

DC057422 Western Dental Services Inc31960 Mission Trl, 92530‑4539951-643-609433/0 (SP)

Lake ForestDC013278 MARINA DENTAL23591 El Toro Rd Ste 130, 92630‑4704949-206-95081/0 (SP)

DC062625 Family Smiles Dental Care23082 Ridge Route Dr Ste A, 92630‑3691949-837-27662/0 (HI KO RU SP)

DC062869 Dental Wellness of Lake Forest22373 El Toro Rd, 92630‑5053949-444-58331/0 (12 SP VI)

DC063619 Smile On You26741 Rancho Parkway Ste 105A, 92630949-716-48921/0

DC0C4801 LAKE FOREST DENTAL GROUP23704 El Toro Rd Ste A, 92630‑8906949-770-93554/2 (SP)

LakesideDC054051 Gregory Culton DMD9929 Channel Rd, 92040‑3003619-561-44301/0

LakewoodDC013223 D AND D DENTAL OFFICE4180 Woodruff Ave, 90713‑3144562-938-95141/1 (SP VI)

DC015836 LAKEWOOD PLAZA DENTAL GROUP4346 South St, 90712‑1152562-408-35000/2 (SP)

DC035364 CANDLEWOOD SMILES DENTAL GROUP4443 Candlewood St, 90712‑1736562-634-50426/2 (SP)

DC043229 LAKEWOOD FAMILY DENTAL GROUP5203 Lakewood Blvd, 90712‑2438562-531-73732/0 (AR SP)

DC052901 LAKEWOOD DENTAL ARTS5555 Del Amo Blvd, 90713‑2307562-866-17354/0 (HI KO SP TA)

DC056576 Lakewood Cerritos Dental5819 Adenmoor Ave, 90713‑1067562-804-22963/0 (AR CH 4 KO 12 PT RU SP TA TH VI)

DC329201 JITEN VASA DDS11455 Carson St Ste E, 90715‑2581562-860-71161/0 (HI SP)

LancasterDC001819 HI DESERT DENTAL CENTER1745 W Avenue K Ste C, 93534‑6504661-723-54000/2 (PE RU SP)

DC021132 BRIGHT NOW DENTAL43456 10th St W, 93534‑6004661-945-290010/1 (12 SP)

DC039638 WESTERN DENTAL SERVICES44407 Challenger Way, 93535‑3237661-341-310033/4 (SP)

DC046791 DESERT BREEZE DENTAL CARE44404 16th St W Ste 205, 93534‑2839661-942-14741/0 (AM SP)

DC047016 PREMIER DENTAL CARE612 W Lancaster Blvd Ste A, 93534‑3108661-948-96461/0 (AR FinnishHI KO SP)

DC055786 Lancaster Modern Dentistry Dental Group43531 10th St W, 93534‑6005661-839-76304/0 (SP)

DC056321 Elite Dental Care44439 17th St W Ste 201, 93534‑2856661-723-14611/0 (AM CA KO 12 SP)

DC058757 Eagle Dental1306 W Avenue J Ste A, 93534‑2936844-563-24531/0 (CH SP)

DC059118 West Lancaster Dental Group1669 W Avenue J Ste 305, 93534‑2870661-802-75445/0 (KO SP)

DC061922 Western Dental Services Inc2004 W Avenue J, 93536‑5913661-949-197018/0 (SP)

DC378501 KAMRAM SAIDARA DDS2030 W Avenue J, 93536‑5913661-949-67571/0 (AR PE PT SP)

LawndaleDC002783 DENTAL CENTER OF REDONDO BEACH16819 Hawthorne Blvd, 90260‑3219310-921-39380/1 (AM SP)

DC011201 HAWTHORNE DENTAL15017 Hawthorne Blvd, 90260‑1504310-973-64280/1 (AM CH KO PT RU SP)

DC013518 HANNA DENTISTRY14314 Hawthorne Blvd, 90260‑1515310-676-64001/0 (AR SP)

DC020267 BRIGHT NOW DENTAL16128 Hawthorne Blvd, 90260‑2931310-370-451121/0 (IN KO 12 SP)

LemooreDC063122 United Health Centers of the San Joaquin Valley250 E Hanford Armona Rd, 93245‑2141559-997-61402/0 (SP VI)

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Loma LindaDC059061 Ronald L Moore DDS Inc25835 Barton Rd Ste 104, 92354‑3898909-796-22991/0 (SP)

DC059207 Western Dental Services Inc25733 Barton Rd, 92354‑3812909-798-275529/0

LomitaDC008858 SHANNON YOON DDS25124 Narbonne Ave Ste 202, 90717‑2141310-530-32601/0 (SP)

DC037047 DAVID SUH DDS INC25609 Narbonne Ave, 90717‑2513310-326-85721/0 (JA KO SP VI)

DC060233 St Francis Dental2055 Lomita Blvd, 90717‑1701310-530-31001/0 (SP)

LompocDC058634 Ericson Dental Group Lompoc719 E Ocean Ave, 93436‑7014805-735-27021/0 (SP)

DC058635 Prasan Mohansinh Parmar DDS1133 N H St Ste L, 93436‑3383805-736-80111/0 (HI SP)

Long BeachDC000633 UNITED FAMILY DENTAL141 E Willow St Ste P, 90806‑2634562-988-28881/0 (HI KO SP TA VI)

DC011675 BEAUTIFUL SMILES DENTAL CARE1729 Termino Ave, 90804‑2121562-494-84000/1 (SP)

DC013333 VICTOR DE LOS SANTOS DDS INC3712 Atlantic Ave Ste C, 90807‑3542562-426-12980/2 (SP TA TA)

DC015864 OMEGA FAMILY DENTAL816 W Willow St, 90806‑2837562-595-70771/0 (CH SP VI)

DC018976 ACCU DENTAL GROUP6413 E Spring St, 90808‑4022562-938-83880/1 (SP VI)

DC023648 NEWPORT DENTAL3383 Long Beach Blvd, 90807‑4408562-424-160019/0 (KO SP)

DC024563 BASHAR KOMOC DDS3318 E Anaheim St, 90804‑4025562-986-55701/0 (GE RU SP)

DC037979 GARY TROMBATORE & KENNY ABEDINI3816 Woodruff Ave Ste 104, 90808‑2145562-425-05452/0 (SP TA VI)

DC039876 WESTERN DENTAL SERVICES1150 E Anaheim St, 90813‑3663562-437-064658/10 (SP)

DC047786 DR ZAK LONG BEACH DENTAL CARE3620 Long Beach Blvd Ste B6, 90807‑6008562-426-645812/0 (RU SP)

DC056895 Marina Smiles Dentistry dental Group6437 E Pacific Coast Hwy Unit A‑6, 90803‑4201562-280-52004/0

DC059510 Western Dental Services Inc2360 Pacific Ave, 90806‑3051562-595-073127/0

DC061590 Cherry Dental6616 Cherry Ave, 90805‑1715562-630-22621/0 (AR SP)

DC061686 Western Dental Services Inc4516 Atlantic Ave, 90807562-495-623747/0

DC061850 Carson Dental & Cosmetic Centre1200 E Carson St Ste 300, 90807‑3075562-988-77881/0 (CH KO SP)

DC062542 Bixby Knolls Modern Dentistry Dental Group4578 Atlantic Ave, 90807‑1513310-579-64652/0 (SP)

DC062817 Family Dentistry5399 Orange Ave, 90805‑6017562-422-10001/0 (SP)

DC063204 Western Dental Services Inc2306 E 7th St, 90804‑4619562-434-07405/0 (SP)

DC359201 MARK COCCHI DDS2880 Atlantic Ave Ste 190, 90806‑1724562-426-07781/0 (GE)

Los AlamitosDC051429 LOS ALAMITOS FAMILY DENTISTRY3662 Katella Ave Ste 206, 90720‑3192562-598-79141/0

DC187701 LOS ALAMITOS DENTAL ARTS3724 Katella Ave, 90720‑3102562-936-00711/1 (SP)

DC283401 ASHOKKUMAR MEHTA DDS10900 Los Alamitos Blvd Ste 133, 90720‑5612562-596-88881/1 (AR FR HE HI SP)

Los AngelesDC000635 CENTRO MEDICO DENTAL FAMILIAR514 E Washington Blvd, 90015‑3723213-749-39342/0 (RU SP)

DC000759 Samaritana Dental504 S Alvarado St Ste 208, 90057‑2914213-335-35902/0 (SP TA)

DC001664 WILSHIRE SMILE STUDIO DTL GRP6200 Wilshire Blvd Ste 1609, 90048‑5817323-336-84782/1 (HE)

DC002326 FRED NAYSSAN DDS10350 Santa Monica Blvd Ste 190, 90025‑5073310-557-17042/0 (SP TA)

DC002507 BRENTWOOD DENTAL GROUP11980 San Vicente Blvd Ste 660, 90049‑6641310-979-83451/0 (AR FR SP)

DC002540 WOODSIDE DENTAL1273 Westwood Blvd, 90024‑4899310-824-00551/0 (TA)

DC002865 CYPRESS DENTAL CLINIC2135 Cypress Ave, 90065‑1212323-223-07311/0 (HI SP)

DC002866 JOCELYN CAPISTRANO DDS628 N Vermont Ave Ste 5, 90004‑2154323-644-36501/0 (SP TA)

DC003153 ADELAIDA QUINGCO DDS1127 Wilshire Blvd Ste 1103, 90017‑4002213-250-39981/0 (SP TA)

DC005210 VENICE DENTAL GROUP INC12563 Venice Blvd, 90066‑3712310-390-24231/0 (AR SP)

DC005901 JAMES BLACK DDS3015 Crenshaw Blvd Ste A, 90016‑4264323-731-08014/0 (FR KO SP)

DC006471 ST GEORGE DENTAL CLINIC7260 W Sunset Blvd Ste 201, 90046‑3417323-469-88161/0 (AR RU SP)

DC006734 RAMIN TOUR DDS INC907 N Virgil Ave, 90029‑2911323-661-83840/1 (FR SP TA)

DC007538 AIRPORT CENTER FAMILY DENTAL5304 W Century Blvd, 90045‑5910310-215-14551/1 (SP)

DC008727 NEWPORT DENTAL3635 E 1st St, 90063‑2345909-624-61997/1 (SP)

DC009138 OJAN GHALCHI DMD281 Columbia Ave, 90026‑5971213-483-30201/0 (SP)

DC009538 BEVERLY HILLS PRESTIGE DENTAL1125 S Beverly Dr Ste 400, 90035‑1152310-286-74471/0 (HE SP)

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DC010344 WILSHIRE DENTAL CARE6200 Wilshire Blvd Ste 1508, 90048‑5816323-931-20001/1 (HI PE RU SP)

DC012440 WILSHIRE DENTAL GROUP6200 Wilshire Blvd Ste 1104, 90048‑5812323-525-18191/0 (AM RU SP)

DC012441 AMY IWATA DDS3756 Santa Rosalia Dr Ste 504, 90008‑3656323-293-26001/0

DC014328 THEODORE STOMEL DMD6333 Wilshire Blvd Ste 208, 90048‑5724323-653-13000/2 (RU)

DC014615 MANUEL LAZO JR DDS3827 W Sunset Blvd Ste A, 90026‑1594323-660-56301/0 (TA)

DC014858 PERSONAL DENTAL OFFICE6222 Wilshire Blvd Ste 103, 90048‑5100323-933-44440/1 (PT RU SP)

DC016202 IMPRESSIVE DENTAL1435 S Vermont Ave Ste 101, 90006‑4543213-739-30960/1 (SP)

DC017531 PREMIER DENTAL CLINIC INC1115 Colorado Blvd, 90041‑2503323-255-46000/1 (AM SP)

DC017534 WEST COAST DTL GRP 6TH STREET1725 W 6th St, 90017‑1000213-413-515114/1 (AR AM CH FR KO SP VI)

DC018373 ARAM ARAKELYAN DDS2426 W 8th St Ste 209, 90057‑3872213-381-39000/0 (AM SP)

DC018953 LA PAZ CLINIC1107 S Alvarado St Ste 102, 90006‑4161213-380-99993/1 (HE SP)

DC019946 DAVIS FAMILI DDS MAGD INC11500 W Olympic Blvd Ste 508, 90064‑1528310-477-77440/1 (SP)

DC021424 NORMANDIE DENTAL CLINIC1690 W Adams Blvd, 90007‑1535323-730-09241/0 (AM RU SP)

DC021502 FOREVER SMILE DENTAL CARE6200 Wilshire Blvd Ste 1604, 90048‑5817323-634-90040/1 (SP)

DC022103 AFAR & GHASRI DENTAL CORP6200 Wilshire Blvd Ste 1508, 90048‑5816323-931-20000/1 (SP TA)

DC022394 HENGAMHEH ANARAKI DDS INC244 S Oxford Ave Ste 12, 90004‑5126213-388-55331/0 (SP)

DC024589 SMILE MAKERS998 S Robertson Blvd, 90035‑1637310-358-12001/0 (SP)

DC026085 MARK A MOSES DDS1839 W Imperial Hwy, 90047‑5021323-757-17611/0 (SP)

DC027694 GENTLE FAMILY DENTIST5207 Whittier Blvd, 90022‑4012323-269-02662/0 (HI SP)

DC028254 WESTWOOD DENTAL CARE10921 Wilshire Blvd Ste 601, 90024‑4003310-208-85511/0 (KO SP)

DC029955 RAMIN RAVAEI DMD1835 S La Cienega Blvd Ste 200, 90035‑4648310-836-03001/0 (KO SP TA)

DC033266 MICHAEL SCHNEIDER DMD10921 Wilshire Blvd Ste 809, 90024‑4003310-208-68130/1 (JA SP)

DC033797 FLORENCE DENTAL GROUP1575 E Florence Ave Ste A, 90001‑2555323-537-41211/0 (HE SP)

DC034767 PICO DENTAL GROUP1561 W Pico Blvd, 90015‑2407213-251-99940/1 (SP)

DC036135 GANJI AND KAMANGAR DENTAL1005 E Washington Blvd Ste B, 90021‑3020213-765-00042/0 (AR SP)

DC036164 HR IMANKHAN DDS INC3356 E Olympic Blvd, 90023‑3724323-269-52211/0 (FR SP TA)

DC036961 HISTORIC CORE DENTAL CARE111 W 7th St Ste R5, 90014‑3951213-629-92221/1 (SP)

DC038015 Z DENTAL GRP6320 Commodore Sloat Dr Ste 1, 90048‑5453323-936-99974/0 (AR AM PE RU SP)

DC039584 WOO SUNG PARK DENTAL CORP3130 W Olympic Blvd Ste 320, 90006‑2494323-766-28881/0 (KO)

DC039636 WESTERN DENTAL SERVICES1565 S Western Ave, 90006‑4233323-734-884345/5 (SP)

DC039892 WESTERN DENTAL SERVICES906 S Soto St, 90023‑1323323-263-906338/1

DC039893 LA BREA FAMILY DENTAL GROUP3400 S La Brea Ave, 90016‑5217323-734-22841/0 (KO SP)

DC040123 JAY J CHOBDEE DDS2105 Beverly Blvd Ste 101, 90057‑2248213-484-12882/0 (SP TA)

DC040228 ANTHONY S PAN DMD INC3346 N Eastern Ave, 90032‑1948323-227-18001/0 (CA CH 12 SP VI)

DC040862 ALLURE DENTISTRY1872 S Sepulveda Blvd Ste 2, 90025‑4314310-444-91211/0 (AR HE HI PT SP)

DC042201 PATRICK CLERK DDS1200 Wilshire Blvd Ste 615, 90017‑1995213-481-12521/0

DC042336 DENTAL PARK753 S Vermont Ave, 90005‑1518213-385-28751/0 (KO SP)

DC042903 WESTWOOD DENTAL ARTS CENTER10921 Wilshire Blvd Ste 501, 90024‑4001310-443-30302/0 (SP)

DC043761 BRIGHT NOW DENTAL4550 W Pico Blvd Ste C309, 90019‑4271323-602-05906/0

DC043916 ANGELENOSMILE10921 Wilshire Blvd Ste 510, 90024‑4001310-824-26241/0 (AR AM FinnishHE PE SP TA)

DC044490 WEST COAST DENTAL GROUP2604 S Vermont Ave Ste F, 90007‑2298323-731-33337/1 (SP)

DC044501 WILSHIRE CENTRAL DENTAL GROUP3932 Wilshire Blvd Ste 100, 90010‑3307213-386-33368/0 (SP)

DC044525 BRIGHT NOW DENTAL8611 S Sepulveda Blvd, 90045‑4001310-846-017213/2

DC046688 WESTERN DENTAL SERVICES INC4165 Beverly Blvd, 90004‑4418323-662-073838/0 (SP)

DC046742 WESTERN DENTAL SERVICES INC1054 Vine Street, 90038‑2745323-465-905543/0 (SP)

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DC047810 HOUSE OF DENTAL HEALTH530 E Washington Blvd Ste A, 90015‑3723213-222-29901/0 (SP)

DC047869 PACIFIC OCEAN DENTAL5161 Pomona Blvd Ste 112, 90022‑1772323-262-26001/0 (KO SP)

DC050881 BRIGHT AND WHITE DENTISTRY3171 Glendale Blvd, 90039‑1805323-663-31221/0 (AM RU SP)

DC052861 Western Dental Services Inc355 W Manchester Ave, 90003‑3327323-751-410033/0

DC052869 Western Dental Services Inc4364 S Central Ave, 90011‑3527323-232-526639/0 (AM RU SP)

DC053114 Western Dental Service12420 Venice Blvd, 90066‑3840310-482-001435/0 (SP)

DC055285 E Dental Center3456 Motor Ave Ste 105, 90034‑4737424-258-60181/0 (SP TA TA VI)

DC055390 Jabeen Mah Khan DDS Inc643 W Manchester Ave, 90044‑5718323-753-14111/0

DC055462 Salud Dental2621 E 1st St, 90033‑3505323-268-93862/0 (SP)

DC056230 LA Smiles Dentistry5010 S La Brea Ave, 90056‑1800323-296-23001/0 (SP)

DC056403 Afsoon Barkhordar DDS Inc6200 Wilshire Blvd Ste 909, 90048‑5810323-935-21112/0

DC056767 Gary Manukyan DDS Inc1828 Hyperion Ave, 90027‑4738323-543-00431/0 (SP)

DC057047 Just Smile Dental Center1269 S Union Ave, 90015‑2043213-251-14001/0 (SP TA)

DC057353 Brite Dental3530 Wilshire Blvd Ste 150, 90010‑2324213-739-28281/0 (KO SP)

DC057590 Just Smile Dental Center309 S Vermont Ave, 90020‑1806213-382-55551/0 (SP TA)

DC058347 The Culver Marina Dental Group12756 W Washington Blvd, 90066‑2309310-822-60662/0 (FR SP)

DC058792 Western Dental Services Inc1200 W Martin Luther King Jr Blvd, 90037‑1722323-295-800437/0 (SP)

DC059229 Western Dental Services Inc2839 N Eastern Ave, 90032‑2701323-897-10208/0

DC059380 Crystal Dental2206 S Figueroa St, 90007‑2049213-748-84481/0 (SP)

DC060092 Victor De Los Santos DDS201 S Alvarado St Ste 402, 90057‑2353213-484-29191/0 (SP TA)

DC060206 All In One Dental8930 S Sepulveda Blvd Ste 118, 90045‑3606310-645-60332/0 (HE RU SP)

DC060411 Smile Makers Dental Office2105 Beverly Blvd Ste 229, 90057‑2283213-908-66551/0 (HE SP)

DC060418 Dental Park3663 W 6th St Ste 110, 90020‑3047213-380-17671/0 (KO SP)

DC060548 Westchester Dental Samia Ali DDS8540 S Sepulveda Blvd Ste 1000, 90045‑3808310-649-24301/0 (AR SP)

DC061085 Family Dental Care 4 You5602 W Manchester Ave, 90045‑4416310-450-03001/0 (PL SP TA)

DC061201 Brighter Dental6221 Wilshire Blvd Ste 507, 90048‑5223323-939-78991/0 (SP)

DC061202 Affinity Cosmetic Center1345 S La Brea Ave, 90019‑2916818-884-43381/0

DC062139 Pico LaCienega Dental Group8530 W Pico Blvd, 90035‑2410310-854-61071/0 (SP)

DC062179 Welcome Dentistry2500 W 8th St Ste 106, 90057‑3860213-381-28271/0 (KO SP)

DC062245 Smiles West Los Angeles1440 W Manchester Ave, 90047‑5422323-753-11412/0 (AR AM CH FinnishFR JA KO PL RU SP TH TR)

DC063183 Joshua Barkhordar DDS Inc2390 Glendale Blvd, 90039‑3209323-922-60161/0 (AM HE SP)

DC092401 Smile Comfort Dental5220 W Washington Blvd Ste 103, 90016‑1331323-933-56412/0 (AR CH 12 RU SP TA)

DC0C7201 AMERICAN HEALTH PRO3130 S Sepulveda Blvd Ste D, 90034‑4214310-268-06461/0 (AR AM CH HE 12 RU SP TA)

DC152101 CALIFORNIA DENTAL CARE11628 Santa Monica Blvd Ste 101, 90025‑2965310-207-10600/1 (SP)

DC198001 UNITED FAMILY DENTAL GROUP5109 Whittier Blvd, 90022‑3926323-265-22221/0 (SP)

DC211901 CULVER DEL REY DENTAL OFFICE12202 W Washington Blvd, 90066‑5508310-915-97972/0 (AM FR SP)

DC228301 GENTLE CARE DENTAL INC3500 Whittier Blvd Ste 101, 90023‑1746323-264-88341/0 (CH SP)

DC270601 BYUNG CHUL KIM DDS765 N Virgil Ave, 90029‑3646323-665-58871/0 (KO SP)

DC349001 CHERYL BINGHAM DDS11905 S Central Ave Ste 203, 90059‑2897323-564-75041/0 (SP)

DC353301 DEVANG GANDHI DENTAL CORP2500 W Florence Ave, 90043‑5144323-750-20821/0 (HI SP)

DC372501 MEHRDAD MAKHANI DDS6200 Wilshire Blvd Ste 1606, 90048‑5817323-933-77441/0 (SP)

DC375201 HOLLYWOOD SMILE DENTAL CENTER8182 W Sunset Blvd Ste 202, 90046‑2440323-654-11001/0 (AM GE HE RU SP)

DC393401 SID SOLOMON DDS1620 Westwood Blvd, 90024‑5604310-475-55980/1 (FR SP)

LynwoodDC009863 SMILESWEST11035 Long Beach Blvd Ste 5, 90262‑2570310-945-27046/1 (AR AM CH FR HI JA KO 12 PE PL PT RU SP TA TA TH TR VI)

DC049649 UNITED FAMILY DENTAL10721 Atlantic Ave Ste J, 90262‑2352310-761-11111/0

DC059509 Western Dental Services Inc3680 E Imperial Hwy Ste 100, 90262‑2663310-761-810026/0

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Manhattan BeachDC2C1401 MANHATTAN VILLAGE DENTAL GRP1200 Rosecrans Ave Ste 210, 90266‑2470310-414-06200/1

DC2C2701 MANHATTAN BEACH DENTISTRY500 S Sepulveda Blvd Ste 210, 90266‑6976310-372-81880/1 (SP)

Marina Del ReyDC021402 MARINA DENTISTRY INC4292 Lincoln Blvd, 90292‑5655310-578-50001/1 (AR SP)

DC056746 MARINA FAMILY DENTAL13286 Fiji Way, 90292‑7119310-821-26112/0 (AR AM FR HE RU SP)

DC059733 Design Dental Spa3206 Washington Blvd, 90292‑5553310-822-38331/0 (AM HE RU SP TA)

MaywoodDC039639 WESTERN DENTAL SERVICES4487 Slauson Ave, 90270‑2943323-773-996146/7 (SP)

DC159601 SOUTHEAST DENTAL GROUP4332 Slauson Ave, 90270‑2848323-771-77773/0 (GE 12 SP VI)

MenifeeDC026853 MENIFEE SMILES DENTISTRY30406 Haun Rd Ste 740, 92584‑6816951-679-462410/2

DC057050 Menifee Dental Group29950 Haun Rd Ste 302, 92586‑6527951-679-16678/0

DC057987 West Coast Dental Group of Menifee30035 Haun Rd Unit B, 92584‑6805951-566-90905/0 (SP)

DC062540 Menifee Lakes Dental Group29121 NEWPORT RD STE 101, 92584951-228-92963/0 (SP)

Mira LomaDC022611 MIRA LOMA SMILES DENTISTRY DENTAL GROUP6445 Pats Ranch Rd Ste G, 91752‑4439951-808-58814/2 (SP)

Mission HillsDC053367 Devonshire Dental Group15534 Devonshire St Unit 108, 91345‑2673818-894-64112/0 (12 SP)

DC062434 Barouir Deirmenjian10331 Sepulveda Blvd, 91345‑2421818-810-32903/0 (AM CH JA KO SP TH)

DC063954 Mission Hills Modern Dentistry Dental Group10306 Sepulveda Blvd, 91345‑2422818-722-15761/0 (SP)

Mission ViejoDC008877 GENTLE DENTAL MISSION VIEJO25523 Marguerite Pkwy Ste C, 92692‑2925949-768-18006/0 (SP)

DC014271 MISSION DENTAL GROUP26032 Marguerite Pkwy # A1, 92692‑5281949-582-84004/1 (SP)

DC015611 MISSION VIEJO FAMILY DENTISTRY28201 Marguerite Pkwy Ste 10, 92692‑3719949-347-03021/1 (SP)

DC019948 MARGUERITE DENTAL CARE27871 Medical Center Rd Ste 165, 92691‑6425949-364-25291/0 (FR SP)

DC021408 MISSION VIEJO DENTAL23482 Alicia Pkwy, 92691‑2601949-581-009013/1

DC022891 JAMES VARTANIAN DDS INC26302 La Paz Rd Ste 203, 92691‑5328949-586-56691/0 (SP)

DC055935 Saddleback Dental Associates23166 Los Alisos Blvd Ste 230, 92691‑7867949-457-02231/0 (RU)

DC057404 Blessed Smile Dentistry of Mission Viejo23032 Alicia Pkwy Ste D, 92692‑1600949-916-16102/0

DC059706 Alicia Orthodontic & Pediatric Dental Specialties24481 Alicia Pkwy Ste B3, 92691‑4534949-586-98002/0 (SP)

DC060817 Sunshine Smiles of Orange County27725 Santa Margarita Pkwy Ste 270, 92691‑6708949-541-87221/0

DC063006 H Koh Dental Corp25100 Marguerite Pkwy Ste A, 92692‑2467949-768-38011/0 (KO SP)

MonroviaDC039133 MONROVIA MODERN460 W Huntington Dr, 91016‑3202626-358-36363/1 (AM HI SP)

DC044638 DENTAL CARE 2000 PLUS115 W Foothill Blvd, 91016‑2144626-358-18331/0 (AR SP)

MontclairDC050329 GLAMOUR DENTAL CARE9509 Central Ave Ste D, 91763‑2400909-399-33301/0 (AR AM SP)

DC061365 Eagle Dental5467 Moreno St Ste A, 91763‑1682844-563-24531/0 (CH SP)

DC179501 CENTRAL FAMILY DENTISTRY9197 Central Ave Ste C, 91763‑1616909-398-11071/0 (SP TA TA)

DC3C2501 AMIEL PATEL DDS4921 Moreno Street, 91763‑1522909-625-38651/0

MontebelloDC025188 MONTEBELLO DENTAL CENTER2453 W Beverly Blvd, 90640‑2305323-838-80551/0 (KO SP)

DC058825 Western Dental Center2200 W Beverly Blvd Ste 400, 90640323-476-303227/0

DC060238 Tigran Shahmanyan DDS Inc3001 W Beverly Blvd Ste 100, 90640‑2255323-728-03271/0 (AM RU SP)

DC062503 Smiles West Montebello1451 N Montebello Blvd, 90640‑2584323-724-99552/0 (AR AM CH FR KO PL PT SP TH)

DC063177 Montebello Dental Group3301 W Beverly Blvd, 90640‑1536323-722-67661/0 (SP)

DC363901 S GHAZARIAN DDS433 N Montebello Blvd, 90640‑4222323-722-29221/0 (AM SP)

Monterey ParkDC039748 CLEAR CHOICE DENTAL2312 S Garfield Ave, 91754‑7220323-722-13150/1 (CH SP VI)

DC053700 Pacific Smile Dental Group2111 S Atlantic Blvd, 91754323-261-99995/0

DC196401 PACIFIC DENTAL GROUP2016 S Atlantic Blvd, 91754‑6843323-725-67970/1 (AM FR IT KO RU SP)

DC239601 ISAAC CHEN DDS2071 S Atlantic Blvd Ste F, 91754‑6347323-260-78780/1 (CA 12 SP)

MontroseDC061280 Montrose Smiles3901 Ocean View Blvd, 91020‑1514818-249-32131/0 (CH 12 SP)

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63

MoorparkDC020308 MOORPARK DENTAL GROUP718 W Los Angeles Ave Ste 3, 93021‑1756805-529-17436/1 (SP)

DC063230 SMILES AVENUE ADVANCED COSMETIC DENTISTRY530 Moorpark Ave Ste 140, 93021‑1877805-529-59551/0 (HI SP)

Moreno ValleyDC009130 GENTLE DENTAL MORENO VALLEY12800 Heacock St Ste A1, 92553‑2868951-247-26882/2 (SP)

DC010509 BRIGHT NOW DENTAL12420 Day St # B4, 92553‑7536951-656-653816/0 (SP)

DC015837 ST PATRICK DENTAL CLINIC24655 Sunnymead Blvd, 92553‑3760951-242-60880/1 (SP TA TA)

DC022469 STONERIDGE DENTAL GROUP27110 Eucalyptus Ave Ste A, 92555‑4542951-616-17593/2 (SP)

DC034810 IMAGE DENTISTRY23205 Sunnymead Blvd, 92553‑5246951-242-62421/0 (KO SP)

DC035115 DR PAREDES DENTAL OFFICE23318 Olive Wood Plaza Dr Ste C, 92553‑5219951-242-55851/0 (SP)

DC044310 WESTERN DENTAL SERVICES23185 Hemlock Ave Ste 1, 92557‑8043951-243-078460/10 (SP)

DC048665 TOWNGATE FAMILY DENTAL AND ORTHO12625 Frederick St Ste F4, 92553‑5234951-697-77501/0 (KO SP)

DC057020 BRIGHT NOW DENTAL‑MORENO BEACH12761 Moreno Beach Dr Ste 103, 92555951-902-60689/0

DC062433 SMILES WEST MORENO VALLEY12252 Perris Blvd Ste B, 92557‑7418951-801-43825/0 (AR AM CH FinnishFR KO PL SP TH)

DC063182 IC Smiles Family Dentistry24760 Sunnymead Blvd Ste 103, 92553‑3791951-807-30781/0 (SP)

DC273301 ROBERT SILVOLA DDS12810 Heacock St Ste B103, 92553‑3171951-242-34411/0 (SP)

DC396301 DTL ASSOC MORENO VALLEY MALL22500 Town Cir Ste 2074, 92553‑7527951-697-68001/0 (HI 4 KO SP TH VI)

MurrietaDC003165 MURRIETA DENTAL GROUP25395 Madison Ave Ste 103, 92562‑9003951-696-56602/2

DC013121 EAST MURRIETA DENTAL GROUP39209 Winchester Rd Ste 100, 92563‑3513951-304-13484/2 (SP)

DC017410 MARGARITA DENTAL GROUP39400 Murrieta Hot Springs Rd Ste 123B, 92563‑7709951-461-74700/1 (AM CH IT PT SP TH VI)

DC017779 PLAZA DENTAL GROUP40484 Murrieta Hot Springs Rd Ste 102, 92563‑6437951-461-43063/1 (SP VI)

DC036403 FRIENDLY DENTAL CENTER39252 Winchester Rd Ste 117, 92563‑3511951-894-77692/0 (SP)

DC037610 COPPER CANYON SMILES23771 Washington Ave Ste H102, 92562‑2265951-691-50960/1 (SP)

DC040220 BRIGHT NOW DENTAL‑MURRIETA40790 California Oaks Rd Ste A, 92562951-704-774016/3

DC053115 Western Dental Services25155 Madison Ave Ste 101, 92562‑8975951-834-975059/0 (SP)

DC058837 Gentle Dental Murrieta39872 Los Alamos Rd Ste A1, 92562‑5871951-397-45262/0

DC063337 Carlos L Torres25341 Madison Ave Ste 103, 92562‑9000951-677-21151/0 (SP)

DC0C2201 MURRIETA DENTAL GROUP40760 California Oaks Rd, 92562‑5794951-677-30786/1 (SP)

DC3C8601 MURRIETA FAMILY DENTAL GROUP40643 California Oaks Rd, 92562‑5729951-677-77792/0 (KO SP)

N HollywoodDC002840 PACIFIC DENTAL GROUP6801 Lankershim Blvd Ste 101, 91605‑6112818-764-07180/1 (AM IT KO RU SP)

DC003546 HAMLIN DENTAL GROUP12509 Oxnard St Ste 201, 91606‑4440818-285-57570/2 (AR AM CA CH IT 12 PT SP TA)

DC015654 HERSEL HANASAB DDS12926 Sherman Way, 91605‑4953818-765-44221/1 (AM SP)

DC021129 NORTH HOLLYWOOD DENTAL GRP12125 Vanowen St Ste 2, 91605‑5665818-764-46790/1 (AM SP TR)

DC046526 WESTERN DENTAL SERVICES INC12700 Sherman Way, 91605‑5031818-764-884347/0

DC349801 JULIAN GERSHFELD DDS5160 Vineland Ave Ste 105, 91601‑3888818-761-88990/1 (RU SP TA)

National CityDC035369 SOUTH COAST DENTAL202 Mile Of Cars Way, 91950‑6605619-477-19704/0 (SP TA)

DC036282 WESTERN DENTAL SERVICES1539 E Plaza Blvd Ste A, 91950‑3641619-474-790033/9 (SP TA)

DC053793 South Bay Plaza Dental1210 E Plaza Blvd Ste 405, 91950‑3628619-477-27871/0

DC056968 Beautiful SmilesDental3403 E Plaza Blvd Ste G, 91950‑4140619-267-65992/0 (SP TA)

Newbury ParkDC047796 PARK PLACE DENTAL GROUP501 S Reino Rd Ste G, 91320‑4276805-499-44412/0 (SP)

DC063833 Community Dental Group587 N Ventu Park Rd Ste C, 91320‑2743805-499-12531/0 (SP)

NewhallDC014829 MITRA SIMANIAN DDS INC23107 Lyons Avenue, 91321‑2630661-255-73382/0 (AM CA CH FR IT KO 12 PE SP)

DC032350 JERROLD SINGER DDS25061 Peachland Ave, 91321‑2517661-255-75300/1 (SP)

Newport BeachDC013066 AMIT SHAH DDS355 Placentia Ave Ste 100, 92663‑3301949-646-08181/0 (KM GE HI SP)

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DeltaCare® USA

DC016544 COASTAL IMAGE DENTAL3991 Macarthur Blvd, 92660949-863-09883/0 (CH SP)

DC029951 OMID HARONIAN DDS1901 Westcliff Dr Ste 6, 92660‑5505949-646-24811/0 (SP)

DC047391 NEWPORT DENTAL CENTER2105 San Joaquin Hills Rd, 92660‑6507949-721-17301/0 (SP)

DC062099 Leo S Shin DDS Inc1401 Avocado Ave Ste 701, 92660‑8709949-644-45711/0 (KO SP)

DC062232 Kids R US Dental And Adults325 Old Newport Blvd Ste 3, 92663‑4161949-873-57101/0 (SP VI)

DC062312 Luminous SMiles of Newport Beach180 Newport Center Dr Ste 100, 92660‑6997949-719-34001/0 (HI SP)

DC062581 Kord Cosmetic Dentistry200 Newport Center Dr Ste 301, 92660‑7504949-423-36921/0 (PE SP)

DC125801 NEWPORT BEACH DENTAL1501 Superior Ave Ste 100, 92663‑3606949-650-67723/0 (GE RO SP)

NorcoDC006984 GENTLE DENTAL NORCO1260 Hamner Ave Ste C & D, 92860‑3136951-279-52003/0

DC015152 HAMNER DENTAL GROUP140 Hidden Valley Pkwy Ste K, 92860‑4002951-898-86734/2 (SP)

DC142201 NORCO FAMILY DENTAL2031 River Rd, 92860‑3307951-372-90940/1 (SP)

North HillsDC058339 Maghiran Dental Corp9506 Sepulveda Blvd, 91343‑3306818-891-11361/0 (SP TA)

North HollywoodDC001667 FAMILY DENTISTRY6738 Lankershim Blvd, 91606‑1615818-503-96970/1 (RU SP)

DC041338 ALLURE DENTAL6058 Lankershim Blvd, 91606‑4806818-766-00560/1 (AM RU SP)

NorthridgeDC002753 HOMA SHAHRIARI DDS INC8632 Balboa Blvd, 91325‑3505818-894-61611/0 (SP)

DC008246 NORTHRIDGE DENTAL OFFICE18519 Devonshire St, 91324‑1308818-831-999010/1 (SP)

DC018017 SHANRAM NOURI DENTAL CORP9318 Reseda Blvd, 91324‑2926818-885-52001/0 (AM SP)

DC056350 Comfort Dental Group9068 Tampa Ave, 91324‑3523818-734-90301/0 (AM SP)

DC058952 Northridge Advanced Dentistry8954 Reseda Blvd Ste 100, 91324‑5838818-701-30102/0 (RU SP)

DC061830 Angela Hoffman DDS Inc9535 Reseda Blvd Ste 313, 91324‑6030818-885-72301/0 (RU SP)

DC176401 HAMLIN DENTAL GROUP8540 Reseda Blvd Ste 101, 91324‑6144818-701-66670/2 (AR AM CH SP TA)

NorwalkDC002720 NORWALK FAMILY DENTISTRY15617 Studebaker Rd Ste 5, 90650‑5471562-484-39361/0 (SP TA)

DC003204 NORWALK FAMILY DENTAL12319 Imperial Hwy, 90650‑8303562-868-79551/0 (SP)

DC012590 PIONEER DENTAL INC14034 Pioneer Blvd, 90650‑3900562-863-87790/1 (SP)

DC013140 NEWPORT DENTAL11481 Rosecrans Ave, 90650‑3830562-863-34575/4 (SP)

DC015591 BRIGHT NOW DENTAL‑NORWALK12052 Imperial Hwy Ste 101, 90650‑3087562-863-477512/1 (SP)

DC045730 NORWALK DENTISTRY11850 Firestone Blvd Ste 6, 90650‑2979562-864-10111/0 (PE SP)

DC057655 Dental Care of Norwalk14509 Pioneer Blvd, 90650‑4875562-863-57011/0 (HI SP)

DC364001 ROBERT C C LEE FAMILY DTL11780 Firestone Blvd, 90650‑2899562-868-98971/0 (CH SP TA)

OceansideDC007275 COLLEGE DENTAL GROUP467 College Blvd Ste 2, 92057‑5436760-631-306010/1 (SP)

DC011144 QUARRY CREEK DENTAL GROUP3430 Marron Rd Ste 300, 92056‑4674760-730-13034/1 (SP)

DC011153 SOUTH OCEANSIDE DENTAL GROUP2484 Vista Way Ste B, 92054‑5682760-439-03349/2 (SP)

DC033583 BRIGHT NOW DENTAL4170 Oceanside Blvd Ste 183, 92056‑6007760-936-000013/1

DC036283 WESTERN DENTAL SERVICES3125 Vista Way Ste 100, 92056‑3630760-439-002535/14 (SP)

DC040525 ANDREW K JOHN DDS INC2123 S El Camino Real, 92054‑6271760-757-77201/0 (KO SP)

DC058892 Oceanside Dental & Orthodontics4750 Oceanside Blvd Ste A15, 92056‑3064760-466-07761/0 (SP)

DC062220 Cassidy Smiles605 Cassidy St, 92054‑6033760-433-61111/0 (TA VI)

DC062791 Del Oro Smiles Dentistry Dental Group4171 Oceanside Blvd Ste 100C, 92056760-283-71802/0 (SP)

DC063544 Western Dental Services Inc3805 Mission Ave Ste A, 92058‑1873760-439-00267/0 (SP)

OntarioDC008852 HS GILL ARCHIBALD RANCH DENTAL3065 S Archibald Ave Ste B, 91761‑9000909-923-36401/0 (SP)

DC016585 EUCLID DENTAL CENTER2905 S Euclid Ave Ste D, 91762‑6684909-391-43002/0 (SP)

DC019519 ONTARIO VILLIAGE DENTAL533 W Holt Blvd Ste B, 91762‑3732909-988-19920/1 (SP)

DC022868 ONTARIO FAMILY DENTISTRY528 N Fern Ave, 91762‑3210909-460-95521/0 (SP)

DC024466 ONTARIO SMILES4190 E 4th St Ste C, 91764‑5263909-532-85184/0

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65

DC037060 Assure Dental961 N Milliken Ave Ste 103, 91764‑5022909-581-77005/1 (AR CH FR KO 12 SP TA)

DC060741 Spectrum Dental Arts1049 W Philadelphia St, 91762‑6145909-391-23241/0 (HI SP)

DC062904 Beautiful Smiles126 W B St, 91762‑3503909-984-47461/0 (AR SP)

DC357001 MISSION DENTAL CARE941 W Mission Blvd Ste H, 91762‑6890909-984-78831/0 (CH HI 12 SP)

OrangeDC002804 GENTLE DENTAL ORANGE424 S Main St Ste H I J, 92868‑3828714-639-19225/3

DC004393 PREFERRED DENTAL CARE2022 W Chapman Ave, 92868‑2610714-978-33331/2 (CA HI JA SP)

DC004715 NEWPORT DENTAL1632 E Katella Ave Ste B, 92867‑5097714-538-231114/1 (SP VI)

DC008670 CALIFORNIA DENTAL GROUP OF ORANGE1502 E Collins Ave, 92867‑5934714-288-84640/1 (SP)

DC033008 ORANGE DENTAL GROUP235 S Tustin St, 92866‑2321714-744-00440/1

DC048221 TUSTIN PLAZA DENTAL GROUP1872 N Tustin St, 92865‑4605714-637-86620/0 (JA PE SP VI)

DC053655 Mayfair Dental1616 E Mayfair Ave, 92867714-744-81642/0 (SP)

DC056428 Orange Village Dentistry Dental Group2393 N Tustin St Ste A, 92865‑3714714-453-02154/0 (SP)

DC060675 Orange Sky Dental1916 N Tustin St, 92865‑4644714-289-50091/0 (HI SP)

DC061206 David M Datu DDS Inc1107 E Lincoln Ave Ste 201, 92865‑1945714-998-22411/0 (SP)

DC062008 Glow Dental294 S Tustin St, 92866‑2307714-639-41321/0 (SP)

DC063423 Glassell Dental245 N Glassell St Ste A, 92866‑1408714-532-56001/0 (SP)

DC282401 ORANGE HILL DENTAL3138 E Chapman Ave Ste A, 92869‑3722714-639-27032/0 (AM SP)

DC367801 TOWN & COUNTRY DENTAL1111 W Town And Country Rd Ste 33, 92868‑4667714-285-05053/0 (KM CA CH KO 12 SP TA VI)

OxnardDC018175 ROSE DENTAL GROUP2731 S Rose Ave Ste 101, 93033‑3964805-483-36582/0 (FinnishKO SP)

DC019926 IRAJ MOVAHHEDI DDS4225 Saviers Rd Ste 9, 93033‑7119805-982-82831/0 (SP)

DC043210 BRIGHT NOW DENTAL355 W Esplanade Dr, 93036‑1234805-288-308012/2

DC054727 Downtown Smile Center826 S A St, 93030‑7140805-486-39111/0 (AR AM SP)

DC057711 Western Dental Center455 S C St, 93030‑5917805-483-958630/0 (SP)

DC057728 Oxnard Dentistry1730 E Gonzales Rd, 93036‑3701805-604-99991/0 (SP)

DC060000 Oxnard Premium Dental451 W Gonzales Rd Ste 110, 93036‑0719805-485-23341/0 (AM RU SP)

DC063951 Oxnard Smiles Dentistry Dental Group1381 W Channel Islands Blvd, 93033‑4203805-253-17961/0 (SP)

DC063986 Oxnard Modern Dentistry Dental Group2150 N Rose Ave, 93036‑5058805-604-04494/0 (SP)

DC1C3601 DENTAL CARE OF OXNARD1350 W Gonzales Rd Fl 2, 93036‑3366805-988-58881/0 (AM SP TA)

DC395501 ESTHETIC SMILES1901 Solar Dr Ste 135, 93036‑0660805-988-22501/0 (AR JA SP)

PacoimaDC018258 PACOIMA FAMILY DENTAL CENTER9722 Laurel Canyon Blvd, 91331‑4106818-897-12341/0 (AR AM PE SP)

DC040985 WAEL H OBEID DDS INC13711 Van Nuys Blvd Ste 3, 91331‑3649818-890-26001/0 (AR SP)

Palm DesertDC022888 DESERT GATEWAY DENTAL GROUP34460 Monterey Ave Ste 100, 92211‑6008760-610-03586/1 (SP)

DC026260 PARC CENTER DENTAL77564 Country Club Dr Ste 350, 92211‑0450760-772-70821/1 (SP TA)

DC031853 SUNLIFE DENTAL GROUP73211 Fred Waring Dr Ste 201, 92260‑2888760-568-33681/0 (SP)

DC054281 Tellissi Family Dentistry72695 Highway 111 Ste A8, 92260‑3320760-340-21601/0 (FR GE SP)

DC062653 Desert Dental Associates72210 Highway 111 Ste E‑1, 92260‑2782760-773-21111/0

DC2C3701 DESERT CROSSING DENTAL GROUP72‑333 Highway 111 Ste B, 92260‑2790760-674-96666/1 (SP)

Palm SpringsDC036702 WESTERN DENTAL SERVICES555 S Sunrise Way Ste 400, 92264‑7894760-322-606138/7 (SP)

DC043816 ARMOUND MAHMOUDI DDS1921 E Tahquitz Canyon Way, 92262‑7001760-325-64801/0 (AM PE SP)

DC061629 Harmony Dental Practice333 S Canyon Dr Ste A, 92262‑7805760-416-02331/0 (KO)

DC199801 GENTLE DENTAL DESERT DENTAL1111 E Tahquitz Canyon Way Ste 210, 92262‑0102760-904-44822/2

PalmdaleDC000997 ANDRE KANARKI DDS1543 E Palmdale Blvd Ste B, 93550‑2000661-274-18661/0 (AM FR SP TA)

DC001732 HI DESERT DENTAL CENTER2205 E Palmdale Blvd, 93550‑1316661-273-13331/1 (PE RU SP)

DC017650 SIERRA COMMONS DENTAL GROUP755 W Rancho Vista Blvd, 93551‑3735661-265-78009/2 (SP)

DC020968 BRIGHT NOW DENTAL39345 10th St W Ste B, 93551‑3779661-274-806510/1 (12 SP)

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DC025870 OASIS DENTAL CARE40008 10th St W Ste F 106, 93551‑3009661-947-27271/0 (SP)

DC026732 GATEWAY DENTAL GROUP38209 47th St E Ste E, 93552‑3113661-236-00467/0 (SP)

DC039637 WESTERN DENTAL SERVICES510 W Rancho Vista Blvd, 93551‑3737661-273-900037/3 (SP)

DC049984 ANTELOPE VALLEY DENTAL GROUP1037 E Palmdale Blvd Ste 203, 93550661-272-91818/0 (AR KO SP)

DC057459 Rwigema Dental Corporation3025 E Avenue S Ste A14, 93550‑2472661-265-76941/0 (FR SP TA)

DC062016 West AV Dental Group38745 Tierra Subida Ave Ste 150, 93551‑4567661-272-90915/0 (AR KO SP)

DC063249 Western Dental Services Inc2140 E Palmdale Blvd, 93550‑1202661-265-17001/0

Panorama CityDC013059 KOO DDS INC8215 Van Nuys Blvd Ste 220, 91402‑4836818-782-82610/2 (KO SP)

DC063003 Western Dental Services Inc8600 Van Nuys Blvd, 91402747-201-60144/0

DC063240 Western Dental Services Inc7942 Van Nuys Blvd, 91402‑6084818-988-31008/0 (SP)

DC357201 GARY KARSH DDS8628 Van Nuys Blvd Ste 200, 91402‑2913818-895-13210/1 (AR HE RU SP)

ParamountDC018649 DR CHEBBI DENTAL OFFICE16260 Paramount Blvd Ste G, 90723‑5448562-633-50701/0 (AR FR SP)

DC053010 Mahesh A Sejpal DDS8040 Alondra Blvd Ste E, 90723‑4355562-633-12131/0 (HI SP TA TA)

PasadenaDC000491 Western Dental Services Inc470 N Los Robles Ave, 91101‑1302626-578-120037/0

DC004502 PASADENA DENTAL CENTER766 N Lake Ave, 91104‑4557626-808-17170/1 (HI SP)

DC012908 NEWPORT DENTAL PASADENA290 N Hill Ave Ste 1, 91106‑1563626-440-02408/2 (SP)

DC016419 TINA GHOTANIAN DDS212 S El Molino Ave, 91101‑2906626-792-79000/1

DC017210 HASTINGS RANCH DENTAL GROUP255 N Rosemead Blvd, 91107‑3102626-351-01953/1 (SP)

DC018882 ROSE CITY DENTAL ARTS1855 E Colorado Blvd, 91107‑3554626-440-08010/1 (CA HI SP)

DC019231 LAKEVIEW DENTAL709 N Lake Ave, 91104‑4558626-797-89001/0 (AR FR GE SP)

DC021778 IBRAHIM RABADI DDS2281 E Washington Blvd, 91104‑1944626-794-26061/0 (AR AM RU TR)

DC022435 GENTLE CARE HEALTH SPA247 N Lake Ave, 91101‑1828626-405-29220/1 (AR AM SP)

DC028398 FAIR OAKS FAMILY DENTAL929 N Orange Grove Blvd, 91103‑3354626-449-37002/2 (AM SP)

DC040863 PASADENA FAM COSMETIC & IMPLANT DENTISTRY800 Fairmount Ave Ste 100, 91105‑3158626-304-30041/0 (AR AM CH KO 12 RU SP TA)

DC055985 Sona Asatryan301 S Fair Oaks Ave Ste 206, 91105‑2536626-431-26541/0 (AM SP)

DC059117 The Smile Agency1175 E Green St, 91106‑2505626-270-01002/0 (SP)

DC059831 Art of Dentistry859 N Fair Oaks Ave Ste 120, 91103‑3078626-765-97581/0 (AM)

DC061015 Bright Smile Dental2245 E Colorado Blvd Ste 201, 91107‑3651626-449-33671/0 (KO SP)

DC061219 Genesis Dental Esthetics200 S El Molino Ave Ste 2, 91101‑2985626-314-35501/0 (AM RU SP)

DC272401 PASADENA DENTAL ASSOCIATES1302 N Altadena Dr, 91107‑1430626-797-67782/0 (CH SP)

DC316601 DAVID WYNDHAMSMITH DDS1092 E Green St, 91106626-795-93282/0 (AM KO 12 SP VI)

PerrisDC022885 CROSSING DENTAL GROUP3150 Case Rd Bldg C, 92570‑5552951-345-438610/2 (SP)

DC032981 GENTLE DENTAL PERRIS2560 N Perris Blvd Ste F1, 92571‑3226951-657-64662/1

DC061383 Western Dental Services Inc1688 N Perris Blvd Ste G1, 92571‑4744951-940-577130/0 (SP)

Pico RiveraDC000013 FAMILY DENTISTRY8532 Whittier Blvd, 90660‑2520562-695-52511/0 (HI SP)

DC021700 CORD FAMILY DENTAL CARE9400 Whittier Blvd, 90660‑2833562-949-25262/0 (SP)

DC025067 BRIGHT SMILE DENTAL8819 Whittier Blvd Ste 102, 90660‑2673562-699-10001/0 (SP)

DC039985 BRIGHT NOW DENTAL8963 Washington Blvd, 90660‑3728562-566-100415/1 (SP)

DC320601 ASHOKKUMAR MEHTA DDS9514 Whittier Blvd, 90660‑2835562-942-23450/1 (HI SP)

DC367501 DANNY MUDITAJAYA DDS9123 Slauson Ave, 90660‑4522562-949-01774/0 (CH IN SP)

PlacentiaDC004485 NAOMI AND ANTHONY WONG DDS415 W Chapman Ave, 92870‑5905714-223-20210/1 (CH SP)

DC016013 PLACENTIA FAMILY DENTISTRY1525 N Placentia Ave Ste H, 92870‑2334714-528-00891/0 (CH SP VI)

DC049420 COSMETIC AND DENTAL IMPLANT CENTER1858 N Placentia Ave, 92870‑2303714-577-90702/0 (KO SP VI)

DC058370 Gentle Dental Placentia620 N Rose Dr Ste B, 92870‑7513714-294-71345/0 (SP)

PomonaDC001718 BELLA MANCHANDIA DDS551 E Holt Ave, 91767‑5623909-622-86001/0 (HI SP)

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DC005493 FAMILY DENTAL CLINIC2280 S Garey Ave, 91766‑5645909-364-06332/1 (SP)

DC011143 PEARL DENTAL CARE2407 Valley Blvd Ste C, 91768‑2719909-839-10040/1 (HI SP)

DC011786 KENT HUNG DMD520 E Foothill Blvd Ste B, 91767‑1200909-624-17810/1 (SP)

DC034442 ANGELIC DENTISTRY847 Philadelphia St, 91766‑5714909-627-41771/0 (RO RU SP)

DC056723 Pomona Dentistry Dental Group2071 Rancho Valley Dr Ste 140, 91766‑7105909-374-18153/0

DC057159 Armen Mardirosian DDS Inc180 E Mission Blvd Ste A, 91766‑1843909-623-52781/0 (AM SP)

DC348001 DONALD HODSON DDS1956 Hill Blvd, 91767‑3620909-621-58481/0 (FR PE SP)

DC357101 POMONA DENTAL GROUP850 Hill Blvd, 91767‑5308909-626-35411/0 (KO SP)

Port HuenemeDC059054 All Care Dental607 W Channel Islands Blvd, 93041‑2136805-985-55001/0

PortervilleDC036350 WESTERN DENTAL SERVICES1213 W Henderson Ave, 93257‑1454559-306-310031/5 (SP)

PowayDC001867 A POWAY DENTAL GROUP12921 Pomerado Rd, 92064‑5325858-679-49490/1

DC007273 POWAY FAMILY DENTAL GROUP13616 Poway Rd Ste 100, 92064‑6548858-391-93001/1 (SP)

DC009629 POMERADO FAMILY DENTAL GROUP15706 Pomerado Rd Ste 201, 92064‑2033858-674-52521/0 (HI SP)

DC039641 WESTERN DENTAL SERVICES 12649 Poway Rd, 92064‑4415 858-486-610030/8

Rancho CucamongaDC004956 JIA LEE DDS9477 Haven Ave, 91730‑5844 909-989-55980/1 (CH SP)

DC014115 WINERY ESTATE DENTAL GROUP7369 Day Creek Blvd Ste F103, 91739‑8020909-646-79025/3 (SP)

DC018520 GINA BARRAMEDA DMD8351 Rochester Ave Ste 109, 91730‑3998909-466-53520/2 (TA TA)

DC022886 MONET DENTAL GROUP12455 Victoria Gardens Ln Ste 190, 91739‑7534909-646-30577/2 (SP)

DC047337 RANCHO CUCAMONGA SMILES DENTISTRY GROUP7319 Milliken Ave Ste 110, 91730‑6794909-945-36507/0 (SP)

DC048663 HORIZON DENTAL PRACTICE9353 Fairway View Pl Ste 200, 91730‑0962909-987-99332/0 (AR SP)

DC049527 GENTLE DENTAL FOOTHILL8880 Foothill Blvd Ste 5, 91730‑7198909-945-05954/0

DC057601 Terra Vista Dental Care7211 Haven Ave Ste D, 91701‑6064909-256-84841/0 (HI SP)

DC059654 Sarah Yang DDS9310 Baseline Rd, 91701‑5821909-989-18681/0 (CH)

DC060120 Talent Dental10590 Town Center Dr Ste 180, 91730‑0364909-313-00441/0 (AR SP)

DC060376 A Plant Dental Center7333 Hellman Ave, 91730‑1302909-483-06001/0 (CH KO SP)

DC063175 Ocean Dental Group9349 Foothill Blvd Ste B, 91730‑3567909-980-63637/0 (AR FR KO 12 SP TR)

DC063384 All About Smile Dental Group10630 Town Center Dr Ste 131, 91730‑8600909-987-66432/0 (CA HI JA 12 SP)

DC063827 Ponderosa Dental Group8463 Haven Ave, 91730‑3845909-481-00252/0

DC117701 STAR DENTAL GROUP12729 Foothill Blvd Ste A, 91739‑9334909-899-87573/0 (SP)

DC390301 RANCHO CUCAMONGA DENTAL CARE10470 Foothill Blvd Ste 126, 91730‑6945909-989-78881/0 (AM 12 SP VI)

DC3C7001 GHAZAL DENTAL CORPORATION10797 Foothill Blvd, 91730‑3858909-581-08886/2 (SP)

Rancho MirageDC022862 RANCHO MIRAGE DENTAL GROUP71817 Highway 111 Ste 1, 92270‑4446760-340-51553/2 (SP)

Rancho Palos VerdesDC057033 RANCHO PALOS VERDES DENTISTRY28901 S. Western Avenue Suite135, 90275310-750-24704/0

Rancho Santa MargaritaDC3C6501 RANCHO DENTAL GROUP30592 Santa Margarita Pkwy Ste D, 92688‑5802949-766-57407/0 (SP)

Rch CucamongaDC014841 BRIGHT NOW DENTAL11561 Foothill Blvd Ste 104, 91730‑3999909-483-781119/3 (HI SP)

DC047480 WESTERN DENTAL SERVICES INC8678 19th St Ste 140, 91701‑4559909-257-201356/0

DC1C7401 RANIA REFAAT DDS7388 Carnelian St Ste C, 91730‑1160909-989-17581/0 (AR SP)

RedlandsDC005437 REDLANDS DENTAL GROUP422 Orange St, 92374‑3206909-792-75008/1 (SP)

DC010256 ALEJANDRA GALINDO MAGALLANES321 Cajon St, 92373‑5901909-888-36880/1 (SP)

DC016012 BRIGHT NOW DENTAL1285 Alabama St, 92374‑2813909-793-577710/1 (RO SP)

DC028395 ELITE DENTAL ASSOCIATES245 Terracina Blvd Ste 207A, 92373‑4869909-798-41112/0

DC044332 WESTERN DENTAL SERVICES INC1715 W Redlands Blvd Ste B, 92373‑9601909-801-814039/14 (HI SP)

DC061112 Tri City Family Dental1402 Industrial Park Ave, 92374‑4517909-798-57771/0

DC062409 Rana Dentistry1748 E Lugonia Ave Ste 126, 92374‑2732909-794-58601/0 (HI SP)

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Redondo BeachDC041128 BEACH CITY DENTAL GROUP1509 Hawthorne Blvd Ste 102, 90278‑3957310-376-52524/1 (SP)

DC055010 Bayside Dental Care1884 1/2 S Pacific Coast Hwy, 90277‑6117310-792-46271/0

DC126601 GALLERIA DENTAL CARE2772 Artesia Blvd Ste 103, 90278‑3370310-370-15862/0 (FR IT SP)

ResedaDC004480 SMILE MASTERS DENTAL CENTER17703 Vanowen St, 91335‑5602818-609-00091/0 (AM FR HI SP)

DC012592 VALLEY DENTAL CENTER19231 Victory Blvd Ste 357, 91335‑6354818-785-54450/1 (SP)

DC027180 HENIDE ARIAS DDS19231 Victory Blvd Ste 252, 91335‑6341818-881-89400/1 (SP)

DC040015 RESEDA DENTAL GROUP18437 Saticoy St Ste 1, 91335‑2911818-344-83381/0 (AM SP)

DC042340 ESTHITIC SMILE19231 Victory Blvd Ste 455, 91335‑6366818-344-49291/0 (AR AM HU RU SP TA)

DC042499 MONICA HERDOIZA DDS6915 Reseda Blvd Unit 3, 91335‑4246818-881-68441/0 (SP)

DC043062 RUBTSOV DDS INC19301 Saticoy St Ste D, 91335‑2358818-772-42220/1 (RU SP)

DC043476 BRIGHT NOW DENTAL RESEDA19361 Saticoy St Ste A, 91335‑2360818-739-102820/1

DC059405 Smile Brite Dental18909 Sherman Way, 91335818-345-13431/0 (FR HE SP)

DC061209 Canby Dental18440 Sherman Way, 91335‑4218818-343-40241/0 (SP)

RialtoDC004514 RIALTO DENTAL GROUP1629 S Riverside Ave, 92376‑7707909-421-22255/2 (SP)

DC022887 METTA SURYA DDS FAMILY DENTISTRY1734 N Riverside Ave Ste 3, 92376‑8058909-875-12791/0 (IN SP)

DC047466 WESTERN DENTAL SERVICES INC260 W Foothill Blvd, 92376‑5048909-546-136673/0

DC056287 Soyoung Kim DDS INC1374 W Foothill Blvd Ste 2E, 92376909-874-74441/0 (KO)

DC063210 Atef E Hana DDS INC2836 W Rialto Ave Ste A, 92376‑6816909-820-94541/0 (AR SP)

DC063425 Luxe Dental Studio1733 N Riverside Ave, 92376‑8062909-875-25481/0 (SP)

DC117501 DRS EBENEZER AND RACHEL JOHNSON DDS INC511 S Riverside Ave, 92376‑7027909-820-22742/0 (SP)

DC166001 DENTAL CARE OF RIALTO INC1817 N Riverside Ave, 92376‑8069909-879-10242/0 (CH 12 PT SP)

RiversideDC000767 NEWPORT DENTAL3724 La Sierra Ave Ste F1, 92505‑3066951-688-24007/3 (SP VI)

DC006976 GENTLE DENTAL RIVERSIDE3630 Central Ave Ste 6, 92506‑5903951-682-17205/1

DC006983 GENTLE DENTAL RIVERSIDE10168 a Ave, 92503‑5302951-352-97475/1

DC010631 JULIA ROMITAN DDS INC6860 Brockton Ave Ste 12, 92506‑3816951-684-99171/0 (GE RO SP)

DC012718 PARISSA DJAFARI DDS6900 Brockton Ave Ste 2, 92506‑3801951-682-22451/0 (FR SP)

DC014141 GROVE DENTAL GROUP8735 Trautwein Rd, 92508‑9474951-776-133014/1 (SP)

DC014243 REZA RAJABI DMD7776 Limonite Ave, 92509‑5314951-360-06961/1 (SP)

DC014338 GATEWAY DENTAL GROUP10286 a Ave, 92503‑5357951-359-52009/3 (SP)

DC015584 CANYON SPRINGS DENTAL GROUP2878 Campus Pkwy Ste 1, 92507‑0945951-571-00117/1 (SP)

DC017776 ANWAR NASSER DDS6326 Mission Blvd Ste B, 92509‑4121951-367-16661/0 (AR SP)

DC024651 ORANGECREST FAMILY DENTAL PRACTICE19348 Van Buren Blvd Ste 117, 92508‑9158951-789-99051/0 (SP)

DC025621 REGAL DENTISTRY3950 Pierce St Ste L, 92505‑3809951-688-00822/0 (AM CA HR 12 RU SP TA)

DC037609 RAINCROSS DENTAL7028 a Ave Ste A, 92506‑4157951-367-13450/1 (SP VI)

DC042936 ARLANZA FAMILY HEALTH CENTER8856 Arlington Ave, 92503‑1365951-710-397012/0 (SP)

DC046532 TYLER DENTAL CENTER4080 Tyler St Ste D, 92503‑3432951-359-01491/0 (HI SP)

DC053111 WESTERN DENTAL SERVICES3485 Madison St, 92504‑3716951-688-710577/0 (SP VI)

DC055006 WESTERN DENTAL SERVICE INC3880 Chicago Ave, 92507‑5354951-643-610048/0 (SP)

DC056751 Kalyani DDS Inc17024 Van Buren Blvd Ste B, 92504‑5921951-892-00221/0 (HI SP)

DC057746 Jurupa Springs Family Dental8880 Limonite Ave, 92509‑5021800-881-03931/0 (GE SP)

DC058013 Palm Dental Group6862 Palm Ave, 92506‑2812951-683-54901/0 (KO SP)

DC058019 Riverside Plaza Dentistry Dental Group3602 Riverside Plaza Dr. Suite 101, 92506951-228-95763/0 (SP)

DC059209 Western Dental Services Inc4024 12th St, 92501‑3561951-784-063633/0

DC060085 Riverwalk Dental Spa11695 Slate Ave Ste 200, 92505‑5197951-353-00502/0 (SP VI)

DC060887 My Riverside Dentist6339 Brockton Ave, 92506‑2031951-369-35971/0 (SP)

DC062755 Young Kwun Kim6859 Magnolia Ave Ste 2, 92506‑2866951-682-08101/0

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DC063272 Dental Specialists of Riverside10181 Magnolia Ave, 92503‑3444951-689-07014/0 (RU SP)

DC172501 VIVIAN KWON DDS2955 Van Buren Blvd Ste H4, 92503‑5675951-689-85441/0 (KO SP VI)

DC267501 DENTAL ASSOCIATES OF RIIVERSIDE3487 Central Ave, 92506‑2115951-369-10011/1 (4 KO SP TH)

DC2C0201 ARLINGTON DENTAL3297 Arlington Ave Ste 101, 92506‑3250951-683-60558/3 (SP)

Rolling HillsDC3C3801 PENINSULA DENTAL ARTS550 Deep Valley Dr Ste 347, 90274‑7603310-377-95750/1 (SP)

RosemeadDC002496 STEVEN HOU DDS2240 San Gabriel Blvd, 91770‑3644626-288-83571/0 (12 SP)

DC055325 Glenrose Dental8951 Glendon Way Ste 1, 91770‑1892626-288-76671/0 (CA SP)

DC055576 Jun and Shan Dental Service Inc2111 San Gabriel Blvd Ste I, 91770‑3600626-280-49762/0 (CA CH 12 SP)

DC056529 Chang Family Dentistry8038 Garvey Ave Ste B, 91770‑2483626-571-70001/0 (CA 12 SP)

S El MonteDC056404 DURFEE DENTAL OFFICE2001 Santa Anita Ave Ste 204, 91733‑3441626-443-39151/0 (12 SP VI)

San BernardinoDC007367 SOUTHLAND DENTAL GROUP399 E Highland Ave Ste 120, 92404‑3812909-881-06451/0 (AR SP)

DC011183 ARROWHEAD FAMILY DENTISTRY407 S E St, 92401‑2012909-889-33000/1 (AR HI SP)

DC011723 SURE SMILE DENTAL OFFICE275 E 9th St Ste L, 92410‑4400909-381-55550/2 (HI SP)

DC012744 HUB PLAZA DENTAL GROUP1047 Harriman Pl Ste B, 92408‑4203909-796-67006/3 (SP)

DC015305 AHMED NAJI DDS1799 N Waterman Ave Ste E, 92404‑5107909-883-82821/0 (AR SP)

DC015306 IAN SHWARTZMAN DDS330 N D St Ste 360, 92401‑1524909-475-55651/0 (SP)

DC025852 MGO DENTAL654 W 4th St Ste A, 92410‑3216909-386-36500/1 (AR FR SP)

DC036585 WESTERN DENTAL SERVICES1199 N E St, 92410‑3507909-388-241555/10 (SP)

DC049131 INLAND FAMILY COMMUNITY HEALTH CENTER665 N D St, 92401‑1109909-708-81683/0 (GE 4 SP)

DC053679 Sonrisas Dental Studio570 S Mount Vernon Ave Ste E, 92410909-219-52291/0 (SP)

DC054399 Western Dental Services Inc2094 E Highland Ave, 92404‑4626909-388-242039/0

DC057649 Orange Show Dental Group & Orthodontics290 W Orange Show Rd Ste 105, 92408‑3345909-567-22231/0 (SP)

DC063435 Carlos L Torres DDS290 W Orange Show Rd Ste 102, 92408‑3345951-677-21151/0 (SP)

DC063927 All Smile Dental Group2015 N Waterman Ave Ste B, 92404‑4810909-713-20771/0 (PE SP)

DC193801 CITRUS DENTAL242 E Airport Dr Ste 100, 92408‑3408909-890-00501/0 (SP)

DC1C7601 INLAND DENTAL CENTER362 E Vanderbilt Way, 92408‑3593909-384-11113/1 (KO SP TA)

DC396401 WATERMAN DENTAL CENTER1428 N Waterman Ave Ste A, 92404‑5382909-889-11111/0 (SP)

San ClementeDC004795 SAN CLEMENTE DENTAL GROUP943 Avenida Pico Unit A, 92673‑3914949-366-95554/3 (SP)

DC009035 TALEGA DENTAL GROUP1151 Puerta Del Sol Ste A, 92673‑6311949-369-83000/1 (SP)

DC012354 ARTISTIC DENTISTRY439 N El Camino Real Ste E, 92672‑4700949-366-11771/0 (PE SP)

DC037851 SAN CLEMENTE DENTAL ASSOC638 Camino De Los Mares Ste C140, 92673‑4813949-234-05001/0 (SP)

DC059737 Seascape Cosmetic and Implant Dentistry675 Camino De Los Mares Ste 304, 92673‑2837949-496-50011/0

San DiegoDC000752 Dental Arts of Coronado Avenue2987 Coronado Ave Ste A, 92154‑2180619-429-59591/0 (SP)

DC001895 PACIFIC DENTAL9330 Mira Mesa Blvd Ste B, 92126‑4822858-695-31771/1 (SP VI)

DC002826 NASER OSTAD DDS12330 Carmel Mountain Rd Ste C4, 92128‑4654858-485-05552/0 (SP)

DC003121 SUNSHINE DENTISTRY4230 30th St, 92104‑1312619-282-10071/0 (SP TA)

DC004767 GENTLE DENTAL SORRENTO VALLEY11230 Sorrento Valley Rd Ste 130, 92121‑1338858-458-91262/1 (SP)

DC007133 WESTVIEW DENTAL OFFICE13350 Camino Del Sur Ste 6, 92129‑4473858-484-99770/1 (HI JA SP TA)

DC010687 COAST DENTAL CARE6585 El Cajon Blvd, 92115‑2706619-265-00720/2 (SP)

DC012742 TIERRASANTA DENTAL GROUP10405 Tierrasanta Blvd, 92124‑2603858-492-93007/2 (SP)

DC014130 COSMETIC AND FAMILY DENTISTRY9636 Tierra Grande St Ste 105, 92126‑6502858-549-45111/0 (AM)

DC017306 GENTLE DENTISTRY4765 Carmel Mountain Rd Ste 205, 92130‑6657858-350-74001/0 (AR CH GE SP TA)

DC018955 PEARL COSMETIC‑FAMILY DENTISTRY13522 Sabre Springs Pkwy Ste 201, 92128‑4687858-513-17470/1

DC020249 BERNARDO HEIGHTS DENTAL GROUP15731 Bernardo Heights Pkwy Ste 101, 92128‑3156858-674-68136/1 (SP)

DC021704 RAY DERAKSHAN DMD11134 Rancho Carmel Dr Ste 103, 92128‑4671858-485-10101/0

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DC022122 WILLIAM CARLO DMD9040 Friars Rd Ste 535, 92108‑5863619-285-09501/0 (SP)

DC023305 ADVANCED DENTISTRY4320 Genesee Ave Ste 101, 92117‑4900858-277-81000/1 (IT SP)

DC031631 SMILE SAN DIEGO2650 Camino Del Rio N Ste 102, 92108‑1630619-298-05210/1 (KO SP TA VI)

DC034682 DR ELLIES GENTLE DENTISTRY2020 Camino Del Rio N Ste 101, 92108‑1542619-542-18000/1 (AR SP)

DC035574 OASIS SMILES11611 Rancho Bernardo Rd Ste 103, 92127‑1412858-592-95001/0

DC037980 MESA FAMILY DENTAL5450 Clairemont Mesa Blvd Ste C, 92117‑2360858-503-67891/0

DC038328 ARVINDA REDDY K DDS INC5440 Morehouse Dr Ste 1800, 92121‑6705858-433-87981/0 (LO SP)

DC039542 EDWARD FARAJZADEH DDS3867 Clairemont Dr, 92117‑5831858-581-65350/1

DC040427 MESA DENTAL7625 Mesa College Dr Ste 100, 92111‑5343858-514-42900/1 (SP TA)

DC040744 AMERICAN DENTAL CLINIC5382 Clairemont Mesa Blvd, 92117‑2213858-277-66201/0 (TA TA)

DC041671 PRIME DENTAL CARE10717 Camino Ruiz Ste 150, 92126‑2362858-831-92881/0 (PE SP)

DC042861 A STREET DENTAL ARTS450 A St Ste 200, 92101‑4217619-233-33381/0 (SP)

DC044371 MISSION VALLEY DENTISTS5638 Mission Center Rd Ste 107, 92108‑4348619-220-01599/1 (SP)

DC045672 STONECREST DENTAL GROUP3737 Murphy Canyon Rd Ste C2, 92123‑4454858-694-07907/0 (SP TA)

DC046483 WESTERN DENTAL SERVICES4123 University Ave, 92105‑1418619-521-003338/0

DC046680 WESTERN DENTAL SERVICES2948 University Ave, 92104‑2934619-294-466137/0 (SP)

DC049357 CLAIRMONT SMILES DENTISTRY AND ORTHO5675 Balboa Ave, 92111‑2705858-268-01107/0

DC050872 WESTERN DENTAL SERVICES3802 Clairemont Mesa Blvd, 92117‑2712858-273-839035/0 (SP)

DC054458 PB Smiles Dentistry Dental Group1975 Garnet Ave Ste E, 92109‑3594858-866-08085/0 (SP)

DC054481 Kensington Dental Group4142 Adams Ave Suite 104, 92116‑2508619-326-01577/0 (SP)

DC056205 Pacific Highlands Dentistry Dental Group5965 Village Way Suite E‑206, 92130‑2475858-900-35416/0 (SP)

DC056447 Affinity Dental of Hillcrest3330 3rd Ave Ste 400, 92103‑5639619-291-87501/0 (SP TA)

DC056531 Downtown SD Modern Dentistry Dental Group435 4th Ave, 92101‑6234619-850-25504/0

DC056532 East Village Dental Group1455 G St, 92101‑7309619-324-49816/0

DC057406 Extreme Smile Makeover1450 Frazee Rd Ste 209, 92108‑4342619-574-66781/0 (SP)

DC057790 Bay Park Dentistry Dental Group2995 Clairemont Dr Ste A, 92117‑6766858-200-08276/0

DC058437 Dr Zak San Diego Dental Care & Orthodontics5625 Ruffin Rd Ste 200, 92123‑6392858-569-965110/0 (AR AM FR RO RU SP TA)

DC058878 Toma & Petros DDS Inc3737 Moraga Ave Ste B311, 92117‑5361858-483-20931/0 (SP)

DC060126 Coastal Dental Arts1230 Columbia St Ste 870, 92101‑8539619-858-80801/0

DC060128 University Avenue Dental Group6324 University Ave, 92115‑5813619-582-42241/0 (AR SP TR)

DC061162 College Grove Dentistry Dental Group3408 College Ave, 92115‑7134619-363-38811/0

DC061713 San Diego Family Care7011 Linda Vista Rd, 92111‑6307858-810-87293/0 (SP VI)

DC062180 San Diego Advanced Dental Centers1901 4th Ave Ste 300, 92101‑2381619-236-79593/0 (SP)

DC062181 Fill Dental Group2845 Nimitz Blvd Ste A, 92106‑2387619-223-81791/0 (SP TA)

DC062456 Bright Now! Dental‑Carmel Plaza Dental11738 Carmel Mountain Rd Ste 170, 92128‑4635858-675-11807/0

DC062624 Serra Mesa Modern Dentistry Dental Group3268 Greyling Dr, 92123‑2230858-617-06201/0 (SP)

DC062757 SABRE SPRINGS DENTISTRY11385 Poway Rd Ste 103, 92128‑5600858-486-86111/0 (KO SP)

DC062877 SmilePlus Dentistry ‑ Mission Valley1333 Camino Del Rio S Ste 202, 92108‑3520619-260-49903/0 (AR SP)

DC063501 San Ysidro Health King Chavez Health Center950 S Euclid Ave, 92114‑6201619-662-41002/0

DC063535 Reesor Dental Group PC11968 Bernardo Plaza Dr, 92128‑2538858-521-00002/0 (AR SP)

DC063577 Dr Natalya Carmichael9728 Carmel Mountain Rd Ste B, 92129‑2849858-484-25601/0 (RU SP TA TR)

DC063625 Serenity Dental Group12396 World Trade Dr Ste 208, 92128‑3788858-673-10001/0 (SP)

DC063984 Rancho Dental Care9912 Carmel Mountain Rd Ste B, 92129‑2808858-538-91821/0 (SP)

DC0C2001 SUNSHINE DENTAL OFFICE9888 Carmel Mountain Rd Ste B, 92129‑2807858-780-88701/0 (CH TA)

DC171301 GLENN E HALDY DDS3670 Clairemont Dr Ste 14, 92117‑5961858-273-05401/0 (SP)

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DC252901 STEPHEN BARAL DDS5189 Clairemont Mesa Blvd, 92117‑1446858-277-39001/0

DC377901 MARK RIEDLER DDS4167 Ohio St, 92104‑1926619-281-66352/0 (SP)

DC385601 BERNARDO DENTAL OFFICE16466 Bernardo Center Dr Ste 185, 92128‑2522858-676-18451/0 (HI SP TA)

DC3C6901 MISSION BAY DENTAL1324 Garnet Ave, 92109‑3011619-275-27501/0 (SP)

San DimasDC011722 SAN DIMAS DENTAL OFFICE923 W Arrow Hwy, 91773‑2420909-592-55997/0 (SP)

DC035071 SUNSHINE SMILE DENTAL1033 W Arrow Hwy, 91773‑2422909-447-70921/0 (SP)

DC045957 ALEMAN SUNRISE DENTAL1111 W Covina Blvd Ste 240, 91773‑3205909-305-23241/0 (SP)

DC061799 Dr Zak Plaza Dental Office1120 Via Verde, 91773‑4401909-599-24449/0 (AR AM FR HE RO RU SP TA)

San FernandoDC002380 TOOTH FAIRY DENTAL556 S Brand Blvd, 91340‑4002818-365-30041/0 (SP TA)

DC019218 CALIFORNIA DENTAL2040 Glenoaks Blvd Ste F, 91340‑1662818-361-38891/0 (AM SP)

DC020926 HEAVENLY DENTAL321 N Maclay Ave Ste A, 91340‑2945818-837-97440/2 (SP)

DC052867 Western Dental Services Inc1101 Truman St Ste A, 91340‑3254818-898-143342/0 (SP)

DC055402 Fawzy Tadros DDS774 N Maclay Ave Ste A, 91340‑2143818-403-64361/0 (AR FR SP)

San GabrielDC001455 DEL MAR FAMILY DENTAL702 S Del Mar Ave Ste A, 91776‑2440626-287-97810/1 (AR AM SP)

DC001457 DR. M LWIN1739 S San Gabriel Blvd, 91776‑3927626-288-57770/2 (CA 12 SP)

DC001807 SAN GABRIEL FAMILY DENTISTRY531 W Las Tunas Dr Ste B, 91776‑1166626-281-16281/0 (12 SP)

DC013313 SAN GABRIEL VALLEY FAMILY DTL6503 Rosemead Blvd, 91775‑1936626-286-21561/0 (CA 4 12 SP TH VI)

DC023902 SAN GABRIEL DENTAL GROUP6909 Rosemead Blvd, 91775‑1412626-286-86000/2 (CA 12 SP)

DC038500 HAI‑SOU CHEN DDS301 W Valley Blvd Ste 222, 91776‑3759626-573-56371/0 (CA 12)

DC058443 Sunday Dental1434 S San Gabriel Blvd, 91776‑3656626-571-82101/0 (CH SP)

DC062710 Agape Dental314 W Valley Blvd, 91776‑3727626-458-34102/0 (CH IN SP VI)

San JacintoDC024844 SAN JACINTO SMILES1643 S San Jacinto Ave Ste 100‑101, 92583‑5181951-654-77446/1 (SP)

DC035557 SAN JACINTO DENTAL GROUP701 W Esplanade Ave Ste KL, 92582‑4540951-654-34241/0 (HI SP)

San Juan CapistranoDC036579 SAN JUAN DENTAL GROUP31897 Del Obispo St Ste 100, 92675‑3207949-487-02841/0 (IT PE SP)

DC055252 Paradise Dental31726 Rancho Viejo Rd Ste B109, 92675949-481-21211/0 (SP)

DC057737 Beautiful Smilez Dentistry31734 Rancho Viejo Rd Ste D, 92675‑2782949-496-29301/0 (GE SP)

DC0C9701 MEHRVARZI MEHRDOKHT DENTAL CORP31952 Camino Capistrano Ste C14 And Ste C16, 92675‑3229949-240-68881/0

San Luis ObispoDC007574 DISBELL MANSILLA DDS862 Meinecke Ave Ste 200, 93405‑3704805-547-70103/1 (IT 12 PT SP)

DC032053 RICUCCIO NEGOM DDS735 Tank Farm Rd Ste 170, 93401‑7071805-549-90000/1 (SP)

DC058619 R&R Dental Care973 E Foothill Blvd #101, 93405‑1311805-544-94408/0 (SP)

San MarcosDC003532 ANNA DURKIN DDS1344 E Mission Rd Ste C, 92069‑3038760-740-00701/0 (RU SP)

DC009368 SAN MARCOS DENTAL GROUP709 Center Dr Ste 101, 92069‑2502760-746-20454/3 (SP)

DC019237 WOODLAND DENTAL GROUP979 Woodland Pkwy Ste 100, 92069‑2282760-745-11000/1 (SP VI)

DC023810 SMILES OF SAN MARCOS630 Nordahl Rd Ste D, 92069‑3541760-480-17501/0 (HI SP)

DC024235 GRAND PLAZA DENTAL GROUP137 S Las Posas Rd Ste 250, 92078‑2470760-752-70001/0

DC033585 BRIGHT NOW! DENTAL SAN MARCOS752 S Rancho Santa Fe Rd Ste 752, 92078‑3935760-936-000215/1

DC041200 WESTERN DENTAL SERVICES INC169 S Rancho Santa Fe Rd, 92078‑2501760-916-959533/9 (SP)

DC044397 LAS POSAS DENTAL PRACTICE145 S Las Posas Rd Ste 162, 92078‑2419760-736-42472/2 (SP)

DC044944 BUSINESS PARK DENTAL960 W San Marcos Blvd Ste 120, 92078‑1125760-736-43000/0

DC058889 Rancho Palomar Dental Care637 S Rancho Santa Fe Rd, 92078‑3973760-744-81991/0 (SP)

DC059186 Babak Shahrokh DMD Inc365 S Rancho Santa Fe Rd Ste 105, 92078‑2338760-471-95601/0 (AR SP TA)

DC062767 Sun Smile Dental1582 W San Marcos Blvd Ste 201, 92078‑4081760-744-13002/0 (CH 12 SP)

San PedroDC019925 SAN PEDRO DENTAL697 S Gaffey St, 90731‑3026310-548-127317/0 (SP VI)

DC039543 SAN PEDRO FAMILY DENTIST204 N Pacific Ave, 90731‑2016310-832-88001/0 (KO SP)

DC044347 SAN PEDRO DENTAL CARE520 W 7th St, 90731‑3116310-832-53610/1 (SP)

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San YsidroDC000375 San Ysidro Dental Care2004 Dairy Mart Rd Ste 120, 92173‑1882619-428-24361/0 (SP)

DC063524 San Ysidro Health San Ysidro Health Center4004 Beyer Blvd, 92173‑2007619-662-41003/0 (SP TA)

Santa AnaDC007333 NANDINI MURTHY DDS2723 N Bristol St Ste D7, 92706‑1419714-569-00210/1

DC011738 MY DENTIST2001 W 17th St, 92706‑2322714-547-44441/0 (SP)

DC013085 DENTAL 4102 E 4th St Fl 2, 92701‑4602714-558-14641/0 (FR SP)

DC013087 PRAKASH PATEL DDS2637 N Grand Ave, 92705‑8707714-288-99800/1 (SP)

DC021406 BRIGHT NOW DENTAL1601 W 17th St Ste G, 92706‑3340714-567-925513/0 (SP)

DC022140 ORANGE COAST DENTAL1717 Old Tustin Ave Unit A, 92705‑7879714-835-91881/0 (SP)

DC026173 Assure Dental Family Care940 N Grand Ave, 92701‑4208714-541-94942/0 (CA HE KO 12 SP)

DC030578 SWEET TOOTH DENTAL301 1/2 N Main St, 92701‑4852714-547-66000/2 (SP)

DC042516 WESTERN DENTAL SERVICES500 N Main St, 92701‑4620714-973-900642/7 (SP)

DC042518 WESTERN DENTAL SERVICES2701 W 1st St, 92703‑3443714-973-202242/6

DC046471 LDJ FAMILY DENTISTRY1125 E 17th St Ste N257, 92701‑2215714-558-48951/0

DC048924 BRIGHT NOW! DENTAL ‑ SANTA ANA‑BRISTOL & ALTON3358 S Bristol St, 92704‑8202714-361-214116/0

DC058041 Saint Paul Dental1424 N Broadway, 92706‑3905714-550-60881/0 (AR SP)

DC060863 Tri Do DDS Dental Corp3801 S Harbor Blvd Ste D, 92704714-444-27441/0 (SP VI)

DC061644 Dentistry by Andy Tran2739 W Edinger Ave, 92704‑3523714-957-03081/0 (SP VI)

DC062110 Smileday Dental601 W 17th St, 92706714-852-31172/0 (SP)

DC062879 Mi Pueblo Dental Group516 W 17th St Ste A, 92706‑3677714-972-25061/0 (SP)

DC062958 Geva Dental1126 N Flower St Ste A, 92703‑2385657-247-05701/0 (SP)

DC160501 BAY DENTAL3620 S Bristol St Ste 307, 92704‑7316714-540-28361/0 (SP VI)

Santa BarbaraDC046450 CECILIA ORDONEZ DDS FAMILY DENISTRY1412 San Andres St Ste D, 93101‑4219805-962-74711/0 (SP)

DC046658 JEFFREY A STRATFORD‑JONES DDS5370 Hollister Ave Ste E, 93111‑2359805-967-03441/0 (SP)

DC047395 LYNDON LAMBETH DDS APDC504 W Pueblo St Ste 204, 93105‑6211805-687-26561/0

DC063391 Ericson Dental Group1919 State St Ste 102, 93101‑0406805-884-18742/0 (SP)

DC0C6701 SEA BREEZE DENTAL DR ZAK5168 Hollister Ave, 93111‑2526805-683-53001/2 (RU SP)

Santa ClaritaDC008536 LYONS DENTAL CARE24036 Lyons Ave, 91321‑2446661-255-10151/0 (SP)

DC008605 CANYON COUNTRY DENTAL GROUP26877 Sierra Hwy, 91321‑2274661-251-20024/0

DC022749 BRIGHT NOW DENTAL26477 Golden Valley Rd, 91350‑2973661-253-101012/2 (CH SP)

DC034141 GOLDEN TRIANGLE DENTAL22770 W Soledad Canyon Rd, 91350‑2629661-259-55402/0 (AR HI SP)

DC043064 COMFORT DENTAL27916 Seco Canyon Rd Ste 201, 91350‑3853661-513-06551/0 (AM KO SP)

DC046718 WESTERN DENTAL SERVICES INC23130 Lyons Ave, 91321‑2631661-260-320045/0 (SP)

DC057778 Stoney Creek Dental23238 Lyons Ave, 91321‑2633661-255-34591/0 (AR AM RO RU SP)

DC060406 Raymond Lotuaco DDS Inc26324 Bouquet Canyon Rd, 91350‑2308661-481-30781/0 (SP TA)

Santa Fe SpgsDC002239 SANTA FE DENTAL10009 Orr And Day Rd, 90670‑3506562-484-08081/0 (SP)

Santa MariaDC013162 FRIENDLY SMILES DENTAL GROUP1670 S Broadway, 93454‑7602805-928-67762/0 (AM SP)

DC039647 WESTERN DENTAL SERVICES2205 S Broadway, 93454‑7813805-346-213021/0 (SP)

DC046454 PACIFIC COAST SMILES426 Barcellus Ave Ste 101, 93454‑6926805-925-87671/0 (SP)

DC046652 MATTHEW LANE DDS2506 Professional Pkwy, 93455‑1602805-938-01001/0

DC046653 ZEN DENTAL GROUP2050 S Broadway Ste E, 93454‑8801805-925-37172/0 (CA CH 12 SP VI)

DC054061 Prasan Mohansinh Parmar DDS Inc1414 S Miller St Ste 7, 93454‑6916805-922-58841/0 (HI SP)

Santa MonicaDC011705 AMERICAN FAMILY DENTAL OFFICE900 Wilshire Blvd Ste 440, 90401‑1879310-576-13411/0 (SP)

DC012072 WILLSHIRE DENTAL3201 Wilshire Blvd Ste 110, 90403‑2335310-829-51810/2 (FR SP TH)

DC048636 COLUMBIA DENTAL GROUP1807 Wilshire Blvd Ste A, 90403‑5678310-453-54361/0 (CH 12 SP TA)

DC063245 Brightleaf Dental1304 15th St Ste 209, 90404‑1811310-395-18101/0 (AR SP)

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DC0C9801 SANTA MONICA DENTAL1244 7th St Ste 101, 90401‑1648310-393-07431/0 (SP)

SanteeDC006421 TOWNE CENTER DENTAL GROUP9862 Mission Gorge Rd Ste E, 92071‑3873619-596-16007/2 (SP)

DC023560 SANTEE TOWN CENTER DENTAL GROUP246 Town Center Pkwy, 92071‑5803619-312-60064/3 (SP)

DC054230 Santee Smiles Dentistry Dental Group9331 Mission Gorge Rd Ste 105, 92071619-448-21586/0 (SP)

DC219501 EDWARD REIDY DDS9280 Mast Blvd, 92071‑2150619-449-85301/0 (RU)

Seal BeachDC048166 ROSSMOOR DENTAL GROUP12419 Seal Beach Blvd, 90740‑2710562-431-03939/0

DC058665 Philip P Nguyen DDS Inc1900 Saint Andrews Dr Ste A, 90740‑5553562-430-10541/0 (SP)

Sherman OaksDC007604 KW CHENG & V THAY INC13732 Ventura Blvd, 91423‑3024818-907-95331/1 (SP)

DC018911 ANAIT ALABYAN DDS4910 Van Nuys Blvd Ste 200, 91403‑1727818-788-21211/0 (AM RU SP)

DC047311 COMFORT CARE DENTAL5151 Hazeltine Ave, 91423‑1116818-788-20232/0 (AM SP)

DC060308 LA DENTAL EXPERTS4521 Sherman Oaks Ave Ste 201, 91403‑3807818-668-50081/0 (SP)

DC062074 Dent All by Dr. Z15301 Ventura Blvd Ste U5, 91403‑6647818-788-77111/0 (AR SP)

Simi ValleyDC006362 SIMI VALLEY DENTAL GROUP2410 Sycamore Dr Ste A, 93065‑2358805-522-26007/0 (SP)

DC012685 FIRST STREET DENTAL GROUP1197 E Los Angeles Ave Ste E, 93065‑2868805-583-57005/2 (SP)

DC029185 SIMI VALLEY SMILES2650 Tapo Canyon Rd Ste 107, 93063‑2308805-522-55162/1 (SP)

DC040224 BRIGHT NOW! DENTAL‑SIMI VALLEY2490 Sycamore Dr Ste A, 93065‑2302805-426-616318/1

DC057730 Western Dental Center1397 E Los Angeles Ave Ste F, 93065‑2866805-577-910037/0 (SP)

DC058846 PRODEN DENTAL3605 Alamo St Ste 310, 93063‑2186805-526-33311/0 (AM SP)

DC058865 Aura Dental3090 Cochran St Ste E, 93065‑2795805-955-01811/0 (AR AM)

DC058951 FAMILY DENTAL CARE495 E Los Angeles Ave, 93065‑7706805-584-22281/0 (SP)

DC176101 DENTAL CARE OF SIMI VALLEY1687 Erringer Rd Ste 201, 93065‑6509805-527-35341/0 (AM PE SP)

SolvangDC049045 JOHNSON FAMILY DENTAL GROUP678 Alamo Pintado Rd, 93463‑2200805-688-999914/0 (CH SP)

South El MonteDC043573 ANTHHONY S PAN9328 Garvey Ave Ste A, 91733‑4602626-350-05880/1 (CA CH 12 SP VI)

South GateDC012712 DR NAZIRI DENTAL CLINIC INC4186 Tweedy Blvd, 90280‑6159323-569-71311/0 (AR FR HE SP)

DC016011 CASTLE DENTAL CENTER9918 Atlantic Ave, 90280‑6449323-567-12279/1 (AR AM CA KO 12 RU SP)

DC059976 Western Dental Services Inc4444 Tweedy Blvd, 90280‑6304323-564-244452/0 (SP)

DC060669 All Kids Dental Care3173 Tweedy Blvd, 90280‑5739323-564-45541/0

DC061949 South Gate Family Dentistry2639 Santa Ana St, 90280‑2025323-583-14812/0 (SP)

South PasadenaDC011027 HEALTHY SMILE FAMILY DENTISTRY1315 Fair Oaks Ave Ste 103, 91030‑3868626-799-80680/1 (CA CH 12 SP)

DC047783 NEW VISION DENTAL1506 Huntington Dr, 91030‑4520626-799-28881/0 (SP VI)

DC057542 Dentists of South Pasadena Dental Group813 Fair Oaks Ave, 91030‑2605626-593-005311/0

StantonDC012597 BRIGHT NOW! DENTAL ‑ STANTON11001 Beach Blvd, 90680‑3216714-891-662314/0 (SP)

Studio CityDC005484 S C DENTAL CARE4366 Tujunga Ave, 91604‑2751818-985-54621/0 (PT RU SP TA)

DC016138 ROYAL DENTAL SPA11711 Moorpark St, 91604‑2112818-505-12110/1 (AM RU SP)

DC063832 Dentists of Studio City Dental Group12050 Ventura Blvd Ste C101, 91604‑2639818-296-91422/0 (SP)

Sun CityDC029914 SUN CITY DENTISTRY28125 Bradley Rd Ste 210, 92586‑2248951-679-05201/0 (SP)

Sun ValleyDC063349 Bright Now! Dental‑Sun Valley8345 Laurel Canyon Blvd, 91352‑3809818-351-35827/0 (SP)

SunlandDC134101 SUNLAND DENTAL CARE7902 Foothill Blvd, 91040‑2937818-353-55201/0 (AM FR SP)

SylmarDC022488 SAINT MINA FAMILY DENTAL12601 San Fernando Rd Ste H, 91342‑7733818-364-19911/0 (AR FR SP)

DC025912 KINGS FAMILY DENTAL GROUP14114 Polk St, 91342818-364-94441/0 (SP)

DC034824 AMERICAN SMILE DENTAL CARE13203 Gladstone Ave Ste A, 91342‑3116818-833-04442/0 (PE SP)

DC055535 Triple Dental13060 Glenoaks Blvd Ste 105, 91342‑3963818-899-18001/0 (AR AM SP)

DC059511 SMILES DENTAL GROUP12737 Glenoaks Blvd Ste 6, 91342‑4757818-369-58811/0 (AM RU SP)

TarzanaDC014329 THEODORE STOMEL DMD19525 Ventura Blvd, 91356‑2906818-708-71010/2 (RU)

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DC041283 TARZANA DENTAL SPECIALIST18663 Ventura Blvd Ste 200, 91356‑4197818-881-90000/1 (KO SP)

DC050778 VICTORY COSMETIC DENTISTRY19231 Victory Blvd Ste 451, 91335‑6360818-345-33551/0 (SP)

DC053766 Tarzana Cosmetic Dentistry19458 Ventura Blvd Ste 10, 91356‑3037818-304-80211/0 (AM SP)

DC356401 FARA SALEHI DDS18740 Ventura Blvd Ste 105, 91356‑6302818-344-33571/0

TemeculaDC003887 SMILECARE‑TEMECULA32909 Temecula Pkwy Ste 102, 92592‑6907951-972-80804/1 (SP)

DC004223 THE OASIS FAMILY DENTAL41278 Margarita Rd Ste 101, 92591‑5579951-695-22901/1 (SP)

DC006422 PACIFIC DENTAL GROUP31754 Temecula Pkwy, 92592‑6814951-694-525510/0 (SP)

DC014356 BRIGHT NOW! DENTAL30571 Temecula Pkwy Ste D, 92592‑4821951-693-207912/5 (SP)

DC017606 MEADOWS DENTAL GROUP31843 Rancho California Rd Ste 300, 92592951-676-26137/1 (SP)

DC023259 BRIGHT NOW! DENTAL39804 Winchester Rd Ste B, 92591‑8320951-695-710011/3

DC024592 BUTTERFIELD DENTAL33321 Temecula Pkwy Ste 104, 92592‑4847951-302-75081/1 (CH SP TH)

DC025685 CREEKSIDE DENTAL41785 Nicole Ln Ste A3, 92591‑3874951-699-32501/0 (SP)

DC036408 FRIENDLY DENTAL CENTER28314 Old Town Front St, 92590‑1814951-676-89201/0 (SP)

DC037119 PROMENADE DENTAL CARE26550 Ynez Rd Ste B, 92591‑4625951-296-30111/0 (SP VI)

DC055471 Pore Dental Group INC31205 Pauba Rd Ste 205, 92592‑6220951-506-68722/0 (HI)

DC056687 Smiles of Temecula Dental Group27365 Jefferson Ave Ste L M, 92590‑5607951-719-11991/0 (SP)

DC057043 Contreras Dental Corporation32140 Temecula Pkwy Ste 203, 92592‑3896951-302-48881/0 (SP)

DC057727 Western Dental Center41115 Winchester Rd Ste 102, 92591‑6001951-331-702053/0 (SP)

DC059019 Dr Diana O Valdez31515 Rancho Pueblo Rd Ste 204, 92592‑4837951-302-33221/0

DC060522 Dr Zak Temecula Dental Group41593 Winchester Rd Ste 211, 92590‑4857951-296-33669/0 (RU SP)

DC062790 Temecula Modern Dentistry40705 Winchester Rd Ste A103, 92591951-252-60011/0 (SP)

DC063084 Anthem Dental32065 Temecula Pkwy Ste C, 92592‑6806951-302-93001/0 (AR SP)

DC063144 Anthem Dental29049 Overland Dr Ste C, 92591‑3637951-506-49001/0 (AR KO SP)

DC3C7101 TEMECULA DENTAL PRACTICE29560 Rancho California Rd Ste 100, 92591‑5294951-699-21447/2 (SP)

Temple CityDC022355 FRIENDLY DENTAL CARE10455 Lower Azusa Rd, 91780‑3470626-444-37441/0 (AM FR RU SP)

Thousand OaksDC006363 THOUSAND OAKS DENTAL GROUP1760 E Avenida De Los Arboles Ste A, 91362‑1392805-493-52008/1 (SP)

DC013064 ROYAL DENTAL SPA1459 E Thousand Oaks Blvd Ste A, 91362‑2806805-494-18311/0 (AM FR RU SP)

DC013796 EAST OAKS DENTAL GROUP593 N Moorpark Rd Ste B, 91360‑3732805-494-52554/2 (SP)

DC015562 DAR RADFAR DDS361 E Thousand Oaks Blvd, 91360‑5805805-497-94081/0 (SP)

DC059925 Aesthetic Dental Group1655 E Thousand Oaks Blvd Ste 204, 91362‑2838805-449-25521/0 (FR SP)

DC063392 1000 Smiles1000 Newbury Rd Ste 138, 91320‑6438805-454-10001/0 (HE PE RU SP)

Toluca LakeDC037096 TOLUCA DENTAL CARE10751 Riverside Dr, 91602‑2324818-760-99120/1 (SP)

DC0C4401 ESTEBAN BONILLA DDS10745 Riverside Dr Ste B, 91602‑2371818-980-28871/0 (CH SP TA)

DC3C3001 TINA GHOTANIAN DDS10916 Riverside Dr, 91602‑2210818-762-99661/0 (SP)

TorranceDC012660 BLUE SKY DENTAL GROUP17311 Yukon Ave, 90504‑2316310-324-33330/1 (KO SP)

DC021679 BEAVERLY GRACE CATALAN DMD22759 Hawthorne Blvd, 90505‑3613310-373-95221/0 (SP TA)

DC034768 A BEAUTIFUL SMILE DENTAL CENTER1431 W Knox St Ste 800, 90501‑1358310-320-11801/0 (SP TA)

DC038322 E‑YONSEI DENTAL OFFICE24205 Hawthorne Blvd Ste B, 90505‑6576310-375-51011/0 (JA KO SP)

DC046285 PCH SMILES DENTISTRY AND ORTHODONTICS2740 Pacific Coast Hwy, 90505‑7002310-534-30024/0 (SP)

DC056728 Century Dental1270 Sartori Ave, 90501‑2717310-320-14711/0 (HI SP)

DC057414 DENTISTS OF SOUTH BAY DENTAL GROUP5023 Pacific Coast Hwy, 90505‑5441310-752-49985/0

DC058330 Henry S Lee DDS23000 Crenshaw Blvd Ste 102, 90505‑3059310-534-24691/0 (12 SP)

DC058756 All Care Dental19019 Hawthorne Blvd Ste 100B, 90503‑1533310-371-01131/0 (AR SP)

DC062541 All Kids Dental Care923 W Carson St, 90502‑2003310-533-130010/0 (AR AM CH KO SP)

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DC063010 Ace Dental Group23000 Crenshaw Blvd Ste 207, 90505‑3052310-926-22342/0 (KO)

DC063451 North Point Dental4350 Redondo Beach Blvd, 90504‑1031310-370-29661/0

DC0C6101 PCH DENTAL3710 Pacific Coast Hwy Ste 101, 90505‑5914310-534-26331/0 (AR)

DC0C8701 TORRANCE DENTAL ARTS23326 Hawthorne Blvd Ste 190 Bldg 10, 90505‑3753310-378-82090/1 (SP TA)

DC2C4201 VILLAGE FAMILY DENTAL1235 Sepulveda Blvd, 90502‑2626310-530-96560/1 (KM GR SP VI)

DC356001 WEST COAST DENTAL1730 Sepulveda Blvd Ste 1, 90501‑6901310-325-88881/1 (SP)

TulareDC036310 WESTERN DENTAL SERVICES1111 E Tulare Ave, 93274‑4561559-688-331330/9 (SP)

TustinDC002827 A A FAMILY DENTAL GROUP18102 Irvine Blvd Ste 205, 92780‑3424714-731-56560/1 (AM CH FR HI PL SP)

DC004385 SOUTHLAND DENTAL ARTS740 El Camino Real Ste 200, 92780‑4369714-838-32302/0 (HI SP)

DC011530 AMIT SHAH DDS17601 17th St Ste 100, 92780‑1946714-544-75111/0 (SP)

DC011651 TUSTIN DENTAL CARE12575 Newport Ave Ste B, 92780‑2452714-731-61000/1 (AR SP)

DC014939 SIMONA KISS DDS18102 Irvine Blvd Ste 201, 92780‑3424714-730-96561/0 (FR HU RO SP TA)

DC015838 KAY KIM DENTAL13132 Newport Ave Ste 220, 92780‑3429714-505-20101/0 (KO SP)

DC037842 MASOUD ARAM DDS13771 Newport Ave Ste 11, 92780‑4692714-838-77771/0 (SP)

DC054261 DENTAL OFFICE OF LAMISE KASSEM DDS17482 Irvine Blvd Ste D, 92780‑3032714-480-07901/0 (AR SP)

DC054786 Dr Haz Dental13372 Newport Ave Ste F, 92780‑3426714-665-08981/0

DC055072 Tustin Smile Care13422 Newport Ave Ste E, 92780‑3746714-665-00052/0

DC059522 Wen Lin Liu DDS Inc14771 Plaza Dr Ste D, 92780‑2779714-616-44161/0 (12)

DC062068 Rafi Dental Group14591 Newport Ave Ste 108, 92780‑6026949-771-72341/0 (SP TA)

DC062204 Welcome Dentistry1096 Irvine Blvd, 92780‑3527714-838-28752/0 (KO VI)

DC1C6201 TUSTIN DENTAL OFFICE13721 Newport Ave Ste 1, 92780‑4601714-368-14003/3 (SP)

UplandDC000232 ERIC CHIANG DDS1273 W 7th St, 91786‑7069909-920-95431/0 (12 SP)

DC013797 CROSSROADS DENTAL GROUP1875 N Campus Ave Ste C, 91784‑8211909-985-23027/2

DC025179 GRIORYAN PROFESSIONAL DENTAL CORPORATION536 E Foothill Blvd, 91786909-291-86251/0 (AM RU SP TA)

DC040225 BRIGHT NOW! DENTAL ‑UPLAND280 S Mountain Ave, 91786‑7029909-285-316010/1 (SP)

DC042358 KATYUSKA PAREDES DDS615 N Benson Ave Ste F, 91786‑5076909-949-40701/0 (SP)

DC059945 Village Dental and Orthodontics1227 W Foothill Blvd, 91786‑3681909-608-07001/0 (SP)

DC199101 JOHNSON FAMILY DENTISTRY440 N Mountain Ave Ste 101, 91786‑5183909-621-60022/0 (SP)

ValenciaDC007663 VALENCIA DENTAL GROUP24218 Valencia Blvd, 91355‑5391661-288-02887/1 (SP)

DC015666 CANYON DENTAL GROUP28237 Newhall Ranch Rd, 91355‑0986661-257-42428/1 (HI SP)

DC016418 VALENCIA DENTAL GROUP28134 Newhall Ranch Rd, 91355‑0990661-607-02023/1 (SP)

DC030725 GEORGE KOUTSOUKOS DDS24155 Magic Mountain Pkwy, 91355‑3904661-222-77241/0 (AM GR RU SP)

DC042693 MAYO DENTAL25864 Tournament Rd Ste F, 91355‑2369661-291-65000/0 (SP)

DC062141 JR Dental23501 Cinema Dr Ste 112, 91355‑5429661-290-33551/0 (FR SP TA)

DC131101 ZAK DENTAL CARE23838 Valencia Blvd Ste 150, 91355‑5332661-253-400012/0 (KO SP)

Valley VillageDC013584 ALLEN ZEBRACK DDS12840 Riverside Dr Ste 406, 91607‑3351818-763-97011/0

DC035058 SHANRAM NOURI DENTAL CORP5216 Laurel Canyon Blvd, 91607‑2710818-769-13470/1 (SP)

DC305301 LAUREL CHANDLER DENTAL4717 Laurel Canyon Blvd Ste 200, 91607‑3990818-508-22500/1 (SP TA)

Van NuysDC002801 HAMLIN DENTAL GROUP14401 Hamlin St Ste D, 91401‑1410818-782-69191/1 (AR AM CA CH 12 PT SP TA)

DC004000 SMILECARE‑VALLEY15643 Sherman Way Ste 300, 91406‑4177818-786-22090/0

DC013875 WEST COAST DENTAL GROUP OF VAN NUYS13716 Sherman Way, 91405‑2626818-988-20209/1 (SP)

DC018879 LOURDES AQUINO DDS14435 Sherman Way Ste 107, 91405‑6227818-785-74981/0 (SP TA)

DC021782 GLOBAL DENTAL PRACTICE14434 Hamlin St Ste 2, 91401‑1461818-781-51801/0 (SP)

DC022741 MARCLAY BROMONT FAMILY DENTAL GROUP14435 Hamlin St Ste 104, 91401‑6205818-781-00040/1 (PE RU SP)

76

DeltaCare® USA

DC023866 SINAI DENTAL GROUP7335 Van Nuys Blvd Ste 101, 91405‑1951818-780-75551/0 (AM SP)

DC025119 MEHRZAD FIROUZBAKHT DDS14100 Victory Blvd, 91401‑1958818-908-91991/0 (SP)

DC030582 GOLDEN CARE DENTISTRY6330 Van Nuys Blvd B, 91401‑2610818-785-99440/1 (SP)

DC035480 MIRO ITSKOVICH DDS13251 Victory Blvd, 91401‑2025818-308-61131/0 (RO RU SP)

DC039022 ST GEORGE DENTAL6648 Van Nuys Blvd, 91405‑4617818-781-25001/0 (AR RU SP)

DC054161 Affordable Dental6251 Van Nuys Blvd, 91401‑2711818-782-50201/0 (SP)

DC059505 Western Dental Services Inc14600 Sherman Way Ste 100B, 91405‑5867818-756-695017/0

DC063846 Family Care Dental14515 1/2 Victory Blvd, 91411‑1619818-809-20011/0 (SP)

VenturaDC004109 WOODSIDE DENTAL CARE10883 Telegraph Rd, 93004‑1272805-647-13221/1

DC016444 MAIN STREET DENTAL GROUP4360 E Main St Ste C, 93003‑8279805-644-61103/0 (SP)

DC043599 WESTERN DENTAL SERVICES2750 E Main St, 93003‑2875805-643-355625/4 (SP)

DC045115 PLAZA DENTAL GROUP4744 Telephone Rd Ste 4, 93003‑5258805-653-06200/2 (SP)

DC057710 Ventura Dental Group1001 Partridge Dr Ste 210, 93003‑0716805-644-95011/0 (AR CA SP)

DC061979 R Malekzadeh DDS Inc5722 Telephone Rd Ste 4, 93003‑5319805-804-53831/0 (SP)

DC222901 ANA HERNANDEZ CARR DDS2100 Goodyear Ave Ste 11, 93003‑7749805-985-11591/0 (FR SP)

DC2C5201 AMERIDENT GROUP6555 Telephone Rd Ste 8, 93003‑4460805-642-27901/0 (SP)

VictorvilleDC019900 DESERT DENTAL GROUP12640 Hesperia Rd Ste A, 92395‑7753760-241-33368/0 (AR AM CH HI KO PE SP TA TH)

DC021052 DESERT SKY DENTAL GROUP15667 Roy Rogers Dr Ste 101, 92394‑2159760-843-58245/2 (SP)

DC026088 VICTOR VALLEY DENTAL GROUP14689 Valley Center Dr Ste 101, 92395‑4277760-245-01510/1 (SP)

DC029897 DR HATTAR DENTAL15366 Eleventh St Ste F, 92395‑3726760-243-35950/1 (AR SP)

DC306401 S M BHATT DDS14495 Seventh St Ste A, 92395‑4233760-245-78001/1 (AR SP)

DC390901 DESERT VALLEY DENTAL GROUP13792 Bear Valley Rd Ste 1, 92392‑8713760-245-20107/2 (SP)

VisaliaDC036329 WESTERN DENTAL SERVICES1230 S Mooney Blvd, 93277‑4436559-624-050333/10 (SP)

DC036331 WESTERN DENTAL SERVICES828 S Mooney Blvd, 93277‑2212559-636-600036/6 (SP)

DC054368 Packwood Creek Dental Group4129 S Mooney Blvd Ste B, 93277‑9147559-732-19536/0

DC055580 Visalia Modern Dentistry Dental Group3206 N Dinuba Blvd Ste F, 93291‑8730559-334-20136/0 (SP)

VistaDC045733 VISTA DENTAL CARE138 Civic Center Dr Ste 115, 92084‑6042760-630-50001/0 (HE SP)

DC050776 NORTH COUNTY DENTAL CARE1000 E Vista Way, 92084‑4602760-940-42662/0 (AM CH LO 12 RU SP TH)

DC059345 Gentle Dental Vista1680 S Melrose Dr Ste 108, 92081‑5472760-536-84703/0 (SP)

DC059615 Vista Dental Group435 S Melrose Dr Ste 105, 92081‑6661760-758-75803/0

DC062127 Western Dental Services Inc1450 N. Santa Fe Ave Suite A&C, 92083760-240-74939/0 (HI SP)

WalnutDC000652 WALNUT HILLS FAMILY DENTISTRY18758 Amar Rd, 91789‑4169626-912-55990/1 (AR FR SP)

DC014045 GARVEY DENTAL OFFICE368 N Lemon Ave Ste E, 91789‑2345626-851-00201/0 (SP TA)

DC039447 PEDRO GONZALEZ DDS INC20199 Valley Blvd Ste F, 91789‑2671909-468-00910/1 (SP)

DC364401 TEIN CHUN WANG DDS1309 N Grand Ave, 91789‑1317909-594-78991/0 (CA 12)

Walnut ParkDC027165 ALAMEDA DENTAL GROUP7700 S Alameda St Ste A, 90255‑3745323-585-92001/0 (SP)

West CovinaDC002401 EDISON DER DDS148 N Grand Ave, 91791‑1728626-858-33051/0

DC003510 NEWPORT DENTAL151 N Azusa Ave, 91791‑1342626-331-00765/0 (12 SP TA)

DC004074 GINA BARRAMEDA DMD1519 E Amar Rd, 91792‑1619626-964-67990/2 (TA TA)

DC011835 SMARTCARE DENTAL PRACTICE415 S Glendora Ave Ste A, 91790‑3048626-918-83381/0 (SP TA)

DC013596 BRIGHT NOW DENTAL1000 West Covina Pkwy Ste A, 91790626-338-48489/1

DC038242 SUNSET DENTAL PROFESSIONALS1042 W West Covina Pkwy, 91790‑2810626-960-27661/0 (CH SP)

DC055354 Rubin Nichols DDS Inc1031 E Amar Rd, 91792‑1340626-330-66553/0 (KO SP TA TA)

DC056557 West Covina Dental Group2700 E Workman Ave Ste A, 91791‑1628626-634-33934/0

DC056626 Dr Luis Javier Vigilarolo266 S Glendora Ave Ste A, 91790‑3042626-653-92760/0 (SP)

DC057215 Smile Center of West Covina820 W Merced Ave, 91790‑4901626-918-33881/0 (SP)

77

DeltaCare® USA

DC058740 American Dental Group of West Covina436 N Sunset Ave, 91790‑1652626-337-72713/0 (PE SP)

DC060235 APEX IMPLANT CENTER AND DENTISTRY360 S Glendora Ave Ste 1, 91790‑5939626-671-58001/0 (HI SP)

DC063243 Western Dental Services Inc1208 W Francisquito Ave, 91790626-917-09007/0

DC160201 WEST COVINA FAMILY DENTISTRY450 S Glendora Ave Ste 106, 91790‑3068626-856-33170/1 (AR SP VI)

DC221001 RAFIK YANNI DDS2413 S Azusa Ave, 91792‑1536626-913-14211/0 (AR SP)

DC329601 QUEENS DENTAL GROUP910 S Sunset Ave Ste 3, 91790‑3409626-337-61663/0 (AR AM HI SP TA)

DC355001 SOUTHERN CALIFORNIA DENTAL SERVICE1014 S Glendora Ave, 91790‑4920626-918-28861/0 (CH SP)

West HillsDC013266 STEPHEN CHEUNG DDS23101 Sherman Pl Ste 417, 91307‑2017818-348-95951/0

DC015734 PLATT VILLAGE DENTAL GROUP6446 Platt Ave, 91307‑3216818-716-70019/1 (SP)

DC021392 FALLBROOK DENTAL GROUP6739 3/4 Fallbrook Ave, 91307‑3522818-592-60601/0 (SP TA)

DC060732 Birva B Joshi DDS Inc7301 Medical Center Dr Ste 305, 91307818-887-71721/0 (AM HI SP)

West HollywoodDC011841 OMID FARAHMAND DMD9201 W Sunset Blvd Ste 915, 90069‑3710310-273-36501/0

DC016502 VICTORIA OLSHANSKY DDS INC1136 N Fairfax Ave, 90046‑5307323-650-69361/0 (HE RU)

DC050079 SUNSET SMILE DENTAL CORP8606 W Sunset Blvd # A, 90069‑2302310-424-36902/0 (AR AM CH HE 12 RU SP TA)

West Los AngelesDC016570 AFSHIN GOLYAD DDS12340 Santa Monica Blvd Ste 241, 90025‑0405310-820-70100/1 (SP)

Westlake VillageDC011740 SONA GEORGIAN DDS32144 Agoura Rd Ste 213, 91361‑4054818-991-46641/0 (AM RU SP)

DC046272 LINDERO CANYON DENTAL GROUP5784 Lindero Canyon Rd Ste B, 91362‑4088818-706-01315/0 (CH SP)

DC057171 WELLNESS DENTAL CENTER3665 E Thousand Oaks Blvd, 91362‑3606805-496-33471/0 (RU SP)

DC060028 Dental Wellness of Westlake Village4685 Lakeview Canyon Rd, 91361‑4028818-879-74801/0 (HI SP)

WestminsterDC004491 NEWPORT DENTAL15458 Beach Blvd, 92683‑6210714-898-32207/2 (SP VI)

DC034668 ERIC W HWANG DDS INC14120 Beach Blvd Ste 112, 92683‑4454714-894-05741/0 (SP)

DC040518 TAYLOR PHAM DENTAL CORP15310 Goldenwest St, 92683‑6150714-893-24111/1 (SP VI)

DC042515 WESTERN DENTAL SERVICES8001 Westminster Blvd, 92683‑3302714-889-413138/11 (SP VI)

DC058764 Pavilion Dental16430 Beach Blvd, 92683‑7859714-848-81001/0 (AR FR SP)

DC063802 Lavang Dental Center9435 Edinger Ave, 92683‑7425714-775-18181/0 (FR VI)

WhittierDC000026 RODOLPHO BURQUEZ DDS11574 Hadley St, 90606‑1955562-699-38381/0 (SP)

DC044913 WHITTIER DENTAL16406 Whittier Blvd, 90603‑3043562-694-03961/0 (KO SP)

DC046712 WESTERN DENTAL SERVICES INC14880 Whittier Blvd, 90605‑1727562-698-655557/0 (SP TA)

DC056521 Village Dental Center6742 Greenleaf Ave Ste 300, 90601‑5154562-945-16842/0 (CA CH 12 SP)

DC059428 Saman Edalat DDS Inc13431 Telegraph Rd, 90605‑3435562-946-28385/0 (AR AM PE SP)

DC060275 Tigran Shahmanyan DDS INC12640 Whittier Blvd, 90602‑2926562-698-13141/0 (AM RU SP)

DC062003 Whittier Family Dental Care10420 Whittier Blvd, 90606‑1336562-463-33321/0 (SP)

DC283501 WHITTIER DENTAL CENTER14564 Whittier Blvd, 90605‑2129562-693-82021/0 (HE 13 KO PE RO SP TA)

DC396701 FRIENDLY HILLS FAMILY DENTISTRY14544 Whittier Blvd, 90605‑2129562-698-98551/0 (HI SP)

WildomarDC010723 DIANA DOYABUT & BRYAN WATANABE23905 Clinton Keith Rd Ste 108, 92595‑7898951-304-97008/1 (SP)

DC011291 BEAR CREEK DENTAL GROUP & ORTHO36068 Hidden Springs Rd Ste H, 92595‑7681951-678-07907/2 (FR SP)

WilmingtonDC012740 WILMINGTON DENTAL1610 N Avalon Blvd, 90744‑1431310-835-313115/0 (SP)

DC017527 DENTAL OFFICE445 E Anaheim St Ste M, 90744‑4600310-835-35350/1 (HE SP)

WinchesterDC1C5101 WINCHESTER DENTAL CENTER33040 Simpson Rd, 92596951-926-24891/0 (KO SP)

WinnetkaDC002853 EDWIN PAPAZIAN DDS INC7616 Winnetka Ave Ste 1, 91306‑2686818-772-62221/0 (AM SP)

Woodland HillsDC011398 AROUND THE CORNER DENTAL SPA22030 Clarendon St Ste 102, 91367‑6370818-999-44451/0 (SP)

DC013689 EDWARD ROSEN & ASSOCIATES21500 Ventura Blvd Ste 200, 91364‑1939818-999-61650/3 (AM CH SP TA TA VI)

DC030553 AFFINITY DENTAL GROUP5312 Comercio Ln Ste B, 91364‑2026818-884-43380/0 (SP)

78

Southern California offices (open)

Arcadia#017483 Drs Cheng & Kim 1043 W Huntington Dr, 91007626-445-9660(SP)

Bakersfield#018808 Javier Central Valley Dental 1415 Brundage Ln, 93304661-323-0076(SP TA)

#131001 Kenneth Krauss DDS 1919 G St, 93301661-323-8585(GE SP)

Bellflower#354901 Benjamin Woo DDS 17802 Clark Ave, 90706562-925-8338(CA 12 SP TA)

Beverly Hills#019891 David Abri DDS Inc 50 N La Cienega Blvd Ste 217, 90211310-275-0032(AM RU SP TA)

Brea#025702 Brea Dental Arts 710 N Brea Blvd Ste E, 92821714-529-8558

#042874 Signature Dental 1770 E Lambert Rd Ste 200, 92821714-255-9700(12)

Canoga Park#022417 Allure Dental 8358 Topanga Canyon Blvd, 91304818-348-8400(AM SP)

Carson#012343 Jaubin Nguyen DDS 1754 E Carson St, 90745310-518-7068(SP VI)

Chino#016554 Bright Smile Dental Care 12345 Mountain Ave Ste O, 91710909-364-1330(HI SP)

DC040681 NEW AGE FAMILY DENTAL GROUP23111 Ventura Blvd Ste 204, 91364‑1160818-225-16300/1 (SP)

Yorba LindaDC011539 YORBA LINDA DENTAL GROUP18432 Yorba Linda Blvd Ste D, 92886‑4008714-970-28016/2

DC017522 RICHARD HAMATY DMD18509 Yorba Linda Blvd, 92886‑4135714-779-13130/1

DC022020 YORBA LINDA DENTAL ARTS19831 Yorba Linda Blvd Ste A, 92886‑2851714-406-05560/2

DC038104 YORBA LINDA SMILES DENTISTRY ORTHO DENTAL GROUP16691 Yorba Linda Blvd, 92886‑2046714-854-99202/1 (SP)

DC057194 Blessed Smile Dentistry of Yorba Linda4846 Valley View Ave Ste B, 92886‑3600714-579-88881/0

DC062033 Joseph Rajabi DDS Inc17540 Yorba Linda Blvd, 92886‑3825714-986-92931/0 (SP)

YucaipaDC000925 IMPERIAL DENTAL PRACTICE34880 Yucaipa Blvd, 92399‑4235909-797-113611/0 (SP)

WellsDC039545 WOO ALBERT LEE DDS74900 Highway 111 Ste 110, 92210760-836-00521/0 (KO)

DeltaCare® USA

#367601 Family Dental Center 5436 Riverside Dr, 91710909-465-5551(HI SP)

#013023 Ou And Chan Dental Inc 5562 Philadelphia St Ste 103, 91710909-464-2399(12 SP)

#055128 Valdez Family Dentistry 4129 Riverside Dr, 91710909-591-9211(SP TA)

Chula Vista#006103 Maria Luisa Vales DMD 88 E Bonita Rd Ste F, 91910619-427-2646(TA)

City Of Industry#043072 Unique Family Cosmetic Dentistry 18558 Gale Ave Ste 266, 91748626-581-3188

Compton#2C6401 Qureshi Compton Family Dental 1315 N Bullis Rd Ste 3, 90221310-639-5330

Culver City#374401 Gary Wirtschafter DDS 10811 Washington Blvd Ste 302, 90232310-839-8033(SP)

Cypress#012688 Samuel Au DDS 5305 Lincoln Ave, 90630714-826-9988(CA 12 SP)

Downey#002755 Soheir Azer DDS 10800 Paramount Blvd Ste 307, 90241562-923-3714(AR SP)

El Cajon#024248 Sun Valley Dental Care 1209 E Main St, 92021619-442-0707(SP)

El Monte#013660 Whelan Lok DDS Inc 10050 Garvey Ave Ste 105, 91733626-444-4220(CA 12 SP)

Encino#054894 Dr. Abadi & Associates Dental Office 16633 Ventura Blvd Ste 850, 91436818-990-5900(SP)

Fontana#151301 Fontana Dental Group 9193 Sierra Ave Ste D, 92335909-822-2226(PL SP)

Glendale#3C4601 Montrose Dental Group 3600 Ocean View Blvd Ste 6, 91208818-541-9010(AM RO)

#018577 Teeth & Gums Central Dentistry 730 S Central Ave Ste 116, 91204818-545-3515(SP TA)

Glendora#054482 Minal Patel DDS Inc 641 W Route 66 Ste D, 91740626-914-3068(SP)

Hacienda Heights#058737 Jung‑Hsiang Chen DDS 2440 S Hacienda Blvd Ste 233, 91745626-968-0052(12)

Hawthorne#286801 Burton Schnierow DDS 13450 Hawthorne Blvd, 90250310-679-0106(AR CH CS HI IT SP VI TA)

Hemet#004077 Hemet Dental Clinic 940 E Morton Pl, 92543951-652-2796(SP)

#034675 Sunshine Dental Care 239 N Sanderson Ave Ste C2, 92545951-925-1223(AR AM SP)

Huntington Beach#151801 Gabriel Capdevila DDS 6082 Edinger Ave Ste A, 92647714-846-2895(SP)

Huntington Park#012919 Binafard Dentaland Corporation 7136 Pacific Blvd Ste 210, 90255323-585-1000

79

DeltaCare® USA

Inglewood#375501 Raymont Johnson Jr DDS 808 E Manchester Blvd, 90301310-671-1234(SP)

Irvine#040624 I Smile Dentistry 33 Creek Rd Ste 300, 92604949-333-2717(AR FR)

La Habra#1C2401 Harbor Dental 971 N Harbor Blvd, 90631562-690-3551(CH SP)

#355701 Juliet Chua DDS 2241 W Whittier Blvd, 90631562-691-7438

La Jolla#059836 Harmony Dental Group 8950 Villa La Jolla Dr Ste B101, 92037858-550-8000(AR SP)

La Mesa#358801 Smilehaven Dental Center 4700 Spring St Ste 210, 91942619-464-2801(CA SP TA)

Laguna Hills#028913 Akash Lapsi DDS 23521 Paseo De Valencia Ste 206, 92653949-770-7766(AR HI SP)

Lake Forest#034498 Lake Forest Dental Health Care 25411 Trabuco Rd Ste 112, 92630949-581-1000(SP)

Lawndale#043895 Vadadent Modern Dental Group 16002 Hawthorne Blvd, 90260310-371-4104(AR AM CH SP)

Loma Linda#059061 Ronald L Moore DDS Inc 25835 Barton Rd Ste 104, 92354909-796-2299(SP)

Long Beach#037979 Gary Trombatore & Kenny Abedini 3816 Woodruff Ave Ste 104, 90808562-425-0545(SP TA VI)

#012682 Kosal Kom DDS 2338 E Anaheim St Ste 108, 90804562-434-9980(KM TH VI)

Los Angeles#018954 Chinatown Service Center 767 N Hill St Ste 213, 90012213-808-1790(SP)

#000637 Dan Benyamini DDS 1826 W 7th St, 90057213-484-6660(SP)

#018593 Ladera Dental Group 5814 Obama Blvd, 90016310-836-7200(HI SP)

#038592 Michel Vasquez DMD Inc 1125 S Beverly Dr Ste 750B, 90035310-277-7645(SP)

#328501 Watts Healthcare Corporation 10300 Compton Ave, 90002323-357-6600

Monrovia#366801 Saleh Kholaki DDS 513 E Lime Ave Ste 204, 91016626-301-4220(AR SP)

Montebello#035763 Dental Care Of Montebello 1332 W Whittier Blvd, 90640323-888-0999(AR SP)

Northridge#029567 At Ease Dentistry 11155 Tampa Ave, 91326818-363-3382(RU SP)

Norwalk#013590 Norwalk Dental Assoc Inc 13828 Pioneer Blvd, 90650562-863-7253(FR SP VI)

#029294 Rose Dental Implant Center 13041 Rosecrans Ave Ste 207, 90650562-404-1614(KO SP)

Orange#056816 Pearl Dental 1714 N Tustin St, 92865714-998-5502(HI SP)

Oxnard#019926 Iraj Movahhedi DDS 4225 Saviers Rd Ste 9, 93033805-982-8283(SP)

Palmdale#375601 Y Siani DMD 619 W Avenue Q Ste A, 93551661-947-6782(AM SP)

Poway#036647 Pacific Dental Care 12307 Poway Rd Ste B, 92064858-668-3390(SP)

Rancho Cucamonga#026932 Renaissance Dental Care 9080 Milliken Ave Ste 100, 91730909-987-0040

Redlands#040992 Smile Bright Dental 414 Tennessee St Ste K1, 92373909-798-4000

Rialto#022890 Samir Shah DDS 469 W Base Line Rd, 92376909-746-0444(HI SP)

Riverside#047287 La Sierra Family Dentistry 3410 La Sierra Ave Ste D, 92503951-354-9550(LO SP TH)

#026612 Riverside Dental Office 1485 University Ave, 92507951-784-4441(HI SP)

Rowland Heights#012594 Steven Chiu DDS Inc 18906 Gale Ave Ste B, 91748626-965-5618(12)

San Bernardino#029297 Dr Gills Family Dentistry 1584 W Base Line St Ste 103, 92411909-885-3100(AR AM RU SP)

San Diego#031633 Boulevard Dental Center 3531 El Cajon Blvd Ste A, 92104619-584-8975(SP VI)

#051595 Carmel Mountain Dentistry 10175 Rancho Carmel Dr Ste 126, 92128858-675-9055(PT SP TA VI)

San Dimas#3C6601 Bouz Dental Corporation 639 E Foothill Blvd Ste A, 91773909-599-2029(AR RU)

San Gabriel#176601 Sun Dental 1720 S San Gabriel Blvd Ste 101, 91776626-288-9055(CA 12)

#0C3501 Thomas Wu DDS 1103 S San Gabriel Blvd Ste A, 91776626-286-7000(CA 12 SP)

Santa Barbara#046651 Montecito Dental Group 1165 Coast Village Rd Ste I, 93108805-565-9837

Santa Clarita#008536 Lyons Dental Care 24036 Lyons Ave, 91321661-255-1015(SP)

Sunland#134101 Sunland Dental Care 7902 Foothill Blvd, 91040818-353-5520(AM FR SP)

Toluca Lake#120301 Hoosik Najarian DDS 10655 Riverside Dr, 91602818-769-1111(AM)

Torrance#057783 Crossroads Dental Group 24231 Crenshaw Blvd, 90505310-326-3657(HI SP)

#016541 Jin Yang DDS 1001 W Carson St Ste G, 90502424-558-3772(SP)

#058826 MB Dental 18506 Hawthorne Blvd, 90504310-483-7779(AR SP)

Upland#013854 Paul Chang Dental Inc 600 N Mountain Ave Ste D205, 91786909-985-9866(CH SP)

Van Nuys#021219 California Smiles Dental Group 14424 Victory Blvd, 91401818-908-9800

DeltaCare® USA

Vista#029747 La Jolla Townsite Family Dental 706 Townsite Dr, 92084760-724-4392(SP)

West Covina#383201 Gregory Robins Family Dentistry 1129 S Glendora Ave, 91790626-919-7707(AM CA SP TA)

West Hills#013266 Stephen Cheung DDS 23101 Sherman Pl Ste 417, 91307818-348-9595(CA 12)

Westminster#046905 Dr Sam C Morcos 7271 Westminster Blvd, 92683714-894-3306(AR FR SP VI)

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Visit us at our website: deltadentalins.com.

Additional Dental Offices will be added as required. You may call DeltaCare USA Customer Care at 800‑422‑4234 for updates to

the provider list. If any office is closed to further enrollment, Delta Dental reserves the right to assign you another dental office as close to your home

as possible.

Administered by

17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703

KPIC’s dental program information 800‑933‑9312

DeltaCare USA information 800‑422‑4234

Delta Dental is a registered mark of Delta Dental Plans Association.

SA‑01‑904‑05 KA5 PB#129876 (rev. 08/20)