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LIBERTY Dental Plan CA-400 Provider Directory California Member Services (888) 703-6999 2/2014 ID# OFFICE NAME ADDRESS CITY ZIP PHONE 9311 Western Dental Services, Inc 115 Berkeley Square BERKELEY 94704-1206 (510) 540-8400 10394 Castro Valley Smiles Dentistry - PDS 3779 East Castro Valley Boulevard CASTRO VALLEY 94552-4835 (510) 581-0500 6668 Setty, DDS, Inc. Fremont 37259 Fremont Blvd FREMONT 94536-3642 (510) 790-0700 4591 Coast Dental of California 36416 Fremont Blvd FREMONT 94536-7436 (510) 739-3889 3947 Brookvale Family Dentistry 39236 Argonaut Way FREMONT 94538-1306 (510) 739-0701 9333 Western Dental Services, Inc 3055 Mowry Ave. FREMONT 94538-1613 (510) 494-9000 8412 Fremont Dental Excellence 1895 Mowry Avenue, Suite 120 FREMONT 94538-1736 (510) 494-8181 2060 Clelen Tanner, D.D.S., Inc. 21911 Foothill Blvd. HAYWARD 94541-2118 (510) 733-1455 4592 Coast Dental of California 22421 Hesperian Boulevard HAYWARD 94541-7010 (510) 782-4161 9314 Western Dental Services, Inc 123 W. Jackson Street HAYWARD 94544-1809 (510) 887-5700 9347 Western Dental Services, Inc. 2177 Las Positas Ct. LIVERMORE 94551-1887 (925) 273-6000 13345 Livermore Smiles Dentisty and Orthodontics 4375 1st Street LIVERMORE 94551-4912 (925) 294-9288 3920 Eastbay Family Dentistry 3040 E. 9th St., #D OAKLAND 94601-2938 (510) 534-0706 4691 Elegant Smiles 3301 E. 12th St., Ste. 165 OAKLAND 94601-2939 (510) 533-5500 9315 Western Dental Services, Inc 1530 Broadway OAKLAND 94612-2002 (510) 251-1000 7444 Oakland Smile Center 1510 Franklin Street OAKLAND 94612-2804 (510) 893-1923 13308 Pleasanton Ridge Dental Group 6766 Bernal Avenue, Suite # 560 PLEASANTON 94566-1218 (925) 461-3100 10131 Bernal Dental Care 3283 Bernal Avenue, Suite 108 PLEASANTON 94566-6237 (925) 249-9242 9321 Western Dental Services, Inc 14895 E. 14th Street, Ste 100 SAN LEANDRO 94578-2985 (510) 618-1230 4593 Coast Dental of California 15301 Washington Avenue SAN LEANDRO 94579-1811 (510) 351-6820 9329 Western Dental Services, Inc 2471 Cohasset Rd, Ste 170 CHICO 95926-1336 (530) 894-9040 8966 Western Dental Services, Inc. 1016 Skyway Boulevard CHICO 95928-7129 (530) 781-1270 9080 Western Dental Services, Inc. 2590 Sycamore Drive ANTIOCH 94509-2909 (925) 776-1141 8971 Western Dental Services, Inc. 4518 Lone Tree Way ANTIOCH 94531-7414 (925) 529-8300 13021 Brentwood Smiles Dental Group-PDS 6660 Lone Tree Way, Suite 7 BRENTWOOD 94513-5310 (925) 513-8363 9100 Western Dental Services, Inc. 1821 Concord Avenue CONCORD 94520-2348 (925) 825-9071 4594 Coast Dental of California 1851 Sutter Street CONCORD 94520-2559 (925) 827-2798 9078 Western Dental Services, Inc. 11299 San Pablo Avenue, Suite A EL CERRITO 94530-2184 (510) 231-0147 9081 Western Dental Services, Inc. 2120 Railroad Road, Suite # 105 PITTSBURG 94565-4880 (925) 439-4774 7654 Pleasant Hills Smiles Dental Group-PDS 2380 Monument Boulevard, Suite F PLEASANT HILL 94523-3972 (925) 363-4455 6052 Reach Dental Care 4200 Klose Way, Ste A SAN PABLO 94806-5713 (510) 223-8228 4595 Coast Dental of California 9130 E Alcosta Blvd, Ste A SAN RAMON 94583-3847 (925) 803-9700 4693 San Miguel Dental 1844 San Miguel Dr, Ste 206 WALNUT CREEK 94596-4963 (925) 279-3326 4386 Mikhail Berdichevsky D.D.S. 120 LA CASA VIA STE 105 WALNUT CREEK 94598-3094 (925) 933-9820 5248 Green Valley Dental Group and Orthodontics-PDS 2205 Francisco Drive, Suite 150 EL DORADO HILLS 95762-3943 (916) 934-0207 13010 Western Dental Services, Inc. 751 West Shaw Avenue CLOVIS 93612-3217 (559) 323-5500 4958 Coast Dental of California 1010 Shaw Avenue, Suite B CLOVIS 93612-3950 (559) 323-1776 4325 Dental Group of Clovis 1330 W Shaw Ave, Ste 103 CLOVIS 93612-3985 (559) 325-6161 9165 Western Dental Services, Inc. 1255 West Shields Avenue FRESNO 93705-3938 (559) 490-0601 9725 Juan J. Alzate, D.D.S., Inc. 5650 North Fresno Street Suite 101 FRESNO 93710-8327 (559) 447-5781 2086 Affinity Dental 5690 N. Fresno Street, Suite 101 FRESNO 93710-8332 (559) 436-3470 9357 Western Dental Services, Inc. 3077 W. Shaw Ave FRESNO 93711-3220 (559) 244-5501 4596 Coast Dental of California 2745 W. Shaw Avenue, Suite 103 FRESNO 93711-3315 (559) 227-2900 4644 Farzin Zabihi D.D.S. Inc. 4747 N 1st Street Suite 138 FRESNO 93726-0589 (559) 222-1550 9331 Western Dental Services, Inc 4195 E. Shields Ave. FRESNO 93726-7025 (559) 243-8960 9166 Western Dental Services, Inc. 4901 East King Canyon Road FRESNO 93727-3812 (559) 456-1600 4956 Coast Dental of California 5657 E Kings Canyon Road, Suite 107 FRESNO 93727-4653 (559) 454-7900 15145 Hector A. Villarreal, DDS 2300 N. Imperial Avenue, Ste E CALEXICO 92231-3209 (760) 357-1632 8904 Western Dental Services, Inc. 1450 N. Imperial Avenue EL CENTRO 92243-1314 (760) 370-3950 5188 Sian Poh D.D.S. 2721 H Street BAKERSFIELD 93301-1911 (661) 324-9709 15213 All Kids Dental Surgery Center 2525 Eye Street, Suite 100 BAKERSFIELD 93301-2065 (661) 325-5437 8975 Western Dental Services, Inc. 1201 24th Street Suite A BAKERSFIELD 93301-2380 (661) 431-1120 4455 G Street Family Dentistry 2611 G Street BAKERSFIELD 93301-2813 (661) 859-0192 6147 17th Street Dental Care 1621 17th Street BAKERSFIELD 93301-4300 (661) 631-0529 5712 Javier Central Valley Dental Clinic 1415 Brundage Lane BAKERSFIELD 93304-3114 (661) 323-0076 4590 Coast Dental of California 2750 Ming Avenue BAKERSFIELD 93304-4431 (661) 396-1701 4987 Home Care Dental 5917 Niles St Ste 3 BAKERSFIELD 93306-4695 (661) 366-6527 4435 Plaque Attack 1507 Panama Lane, Suite # 102 BAKERSFIELD 93307-5682 (661) 827-9183 5170 Centennial Dental Clinic 201 China Grade Loop BAKERSFIELD 93308-1707 (661) 393-4333 8973 Western Dental Services, Inc. 3401 Coffee Road Suite A BAKERSFIELD 93308-5080 (661) 587-3512 4559 Bakersfield Dental Group-PDS 5120 Stockdale Highway, Suite D BAKERSFIELD 93309-2673 (661) 324-5442 8974 Western Dental Services, Inc. 4401 Ming Ave BAKERSFIELD 93309-4817 (661) 397-7400 4899 Dedicated Dental - California Center 3400 Wible Road BAKERSFIELD 93309-6507 (661) 835-8672 13066 SDDS DENTAL 6663 Ming Avenue BAKERSFIELD 93309-9349 (661) 831-0800 4901 Dedicated Dental- Town & Country 8200 Stockdale Highway, Suite M-9 BAKERSFIELD 93311-1029 (661) 834-9042 15318 Stockdale Smiles Dentistry and Orthodontics- PDS 11120 Stockdale Highway, Suite 103 BAKERSFIELD 93311-9998 (661) 665-0080 4902 Dedicated Dental- Rosedale 9600 Rosedale Hwy, Ste A BAKERSFIELD 93312-2101 (661) 589-5248 4699 River Lakes Dental Group-PDS 9510 Hageman Road, Suite B BAKERSFIELD 93312-3953 (661) 829-2700 4905 Dedicated Dental - Panama 3150 Panama Lane, Suite I BAKERSFIELD 93313-3730 (661) 396-0156 KERN COUNTY ALAMEDA COUNTY BUTTE COUNTY CONTRA COSTA COUNTY EL DORADO COUNTY FRESNO COUNTY IMPERIAL COUNTY The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan. If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

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Page 1: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

9311 Western Dental Services, Inc 115 Berkeley Square BERKELEY 94704-1206 (510) 540-8400

10394 Castro Valley Smiles Dentistry - PDS 3779 East Castro Valley Boulevard CASTRO VALLEY 94552-4835 (510) 581-0500

6668 Setty, DDS, Inc. Fremont 37259 Fremont Blvd FREMONT 94536-3642 (510) 790-0700

4591 Coast Dental of California 36416 Fremont Blvd FREMONT 94536-7436 (510) 739-3889

3947 Brookvale Family Dentistry 39236 Argonaut Way FREMONT 94538-1306 (510) 739-0701

9333 Western Dental Services, Inc 3055 Mowry Ave. FREMONT 94538-1613 (510) 494-9000

8412 Fremont Dental Excellence 1895 Mowry Avenue, Suite 120 FREMONT 94538-1736 (510) 494-8181

2060 Clelen Tanner, D.D.S., Inc. 21911 Foothill Blvd. HAYWARD 94541-2118 (510) 733-1455

4592 Coast Dental of California 22421 Hesperian Boulevard HAYWARD 94541-7010 (510) 782-4161

9314 Western Dental Services, Inc 123 W. Jackson Street HAYWARD 94544-1809 (510) 887-5700

9347 Western Dental Services, Inc. 2177 Las Positas Ct. LIVERMORE 94551-1887 (925) 273-6000

13345 Livermore Smiles Dentisty and Orthodontics 4375 1st Street LIVERMORE 94551-4912 (925) 294-9288

3920 Eastbay Family Dentistry 3040 E. 9th St., #D OAKLAND 94601-2938 (510) 534-0706

4691 Elegant Smiles 3301 E. 12th St., Ste. 165 OAKLAND 94601-2939 (510) 533-5500

9315 Western Dental Services, Inc 1530 Broadway OAKLAND 94612-2002 (510) 251-1000

7444 Oakland Smile Center 1510 Franklin Street OAKLAND 94612-2804 (510) 893-1923

13308 Pleasanton Ridge Dental Group 6766 Bernal Avenue, Suite # 560 PLEASANTON 94566-1218 (925) 461-3100

10131 Bernal Dental Care 3283 Bernal Avenue, Suite 108 PLEASANTON 94566-6237 (925) 249-9242

9321 Western Dental Services, Inc 14895 E. 14th Street, Ste 100 SAN LEANDRO 94578-2985 (510) 618-1230

4593 Coast Dental of California 15301 Washington Avenue SAN LEANDRO 94579-1811 (510) 351-6820

9329 Western Dental Services, Inc 2471 Cohasset Rd, Ste 170 CHICO 95926-1336 (530) 894-9040

8966 Western Dental Services, Inc. 1016 Skyway Boulevard CHICO 95928-7129 (530) 781-1270

9080 Western Dental Services, Inc. 2590 Sycamore Drive ANTIOCH 94509-2909 (925) 776-1141

8971 Western Dental Services, Inc. 4518 Lone Tree Way ANTIOCH 94531-7414 (925) 529-8300

13021 Brentwood Smiles Dental Group-PDS 6660 Lone Tree Way, Suite 7 BRENTWOOD 94513-5310 (925) 513-8363

9100 Western Dental Services, Inc. 1821 Concord Avenue CONCORD 94520-2348 (925) 825-9071

4594 Coast Dental of California 1851 Sutter Street CONCORD 94520-2559 (925) 827-2798

9078 Western Dental Services, Inc. 11299 San Pablo Avenue, Suite A EL CERRITO 94530-2184 (510) 231-0147

9081 Western Dental Services, Inc. 2120 Railroad Road, Suite # 105 PITTSBURG 94565-4880 (925) 439-4774

7654 Pleasant Hills Smiles Dental Group-PDS 2380 Monument Boulevard, Suite F PLEASANT HILL 94523-3972 (925) 363-4455

6052 Reach Dental Care 4200 Klose Way, Ste A SAN PABLO 94806-5713 (510) 223-8228

4595 Coast Dental of California 9130 E Alcosta Blvd, Ste A SAN RAMON 94583-3847 (925) 803-9700

4693 San Miguel Dental 1844 San Miguel Dr, Ste 206 WALNUT CREEK 94596-4963 (925) 279-3326

4386 Mikhail Berdichevsky D.D.S. 120 LA CASA VIA STE 105 WALNUT CREEK 94598-3094 (925) 933-9820

5248 Green Valley Dental Group and Orthodontics-PDS 2205 Francisco Drive, Suite 150 EL DORADO HILLS 95762-3943 (916) 934-0207

13010 Western Dental Services, Inc. 751 West Shaw Avenue CLOVIS 93612-3217 (559) 323-5500

4958 Coast Dental of California 1010 Shaw Avenue, Suite B CLOVIS 93612-3950 (559) 323-1776

4325 Dental Group of Clovis 1330 W Shaw Ave, Ste 103 CLOVIS 93612-3985 (559) 325-6161

9165 Western Dental Services, Inc. 1255 West Shields Avenue FRESNO 93705-3938 (559) 490-0601

9725 Juan J. Alzate, D.D.S., Inc. 5650 North Fresno Street Suite 101 FRESNO 93710-8327 (559) 447-5781

2086 Affinity Dental 5690 N. Fresno Street, Suite 101 FRESNO 93710-8332 (559) 436-3470

9357 Western Dental Services, Inc. 3077 W. Shaw Ave FRESNO 93711-3220 (559) 244-5501

4596 Coast Dental of California 2745 W. Shaw Avenue, Suite 103 FRESNO 93711-3315 (559) 227-2900

4644 Farzin Zabihi D.D.S. Inc. 4747 N 1st Street Suite 138 FRESNO 93726-0589 (559) 222-1550

9331 Western Dental Services, Inc 4195 E. Shields Ave. FRESNO 93726-7025 (559) 243-8960

9166 Western Dental Services, Inc. 4901 East King Canyon Road FRESNO 93727-3812 (559) 456-1600

4956 Coast Dental of California 5657 E Kings Canyon Road, Suite 107 FRESNO 93727-4653 (559) 454-7900

15145 Hector A. Villarreal, DDS 2300 N. Imperial Avenue, Ste E CALEXICO 92231-3209 (760) 357-1632

8904 Western Dental Services, Inc. 1450 N. Imperial Avenue EL CENTRO 92243-1314 (760) 370-3950

5188 Sian Poh D.D.S. 2721 H Street BAKERSFIELD 93301-1911 (661) 324-9709

15213 All Kids Dental Surgery Center 2525 Eye Street, Suite 100 BAKERSFIELD 93301-2065 (661) 325-5437

8975 Western Dental Services, Inc. 1201 24th Street Suite A BAKERSFIELD 93301-2380 (661) 431-1120

4455 G Street Family Dentistry 2611 G Street BAKERSFIELD 93301-2813 (661) 859-0192

6147 17th Street Dental Care 1621 17th Street BAKERSFIELD 93301-4300 (661) 631-0529

5712 Javier Central Valley Dental Clinic 1415 Brundage Lane BAKERSFIELD 93304-3114 (661) 323-0076

4590 Coast Dental of California 2750 Ming Avenue BAKERSFIELD 93304-4431 (661) 396-1701

4987 Home Care Dental 5917 Niles St Ste 3 BAKERSFIELD 93306-4695 (661) 366-6527

4435 Plaque Attack 1507 Panama Lane, Suite # 102 BAKERSFIELD 93307-5682 (661) 827-9183

5170 Centennial Dental Clinic 201 China Grade Loop BAKERSFIELD 93308-1707 (661) 393-4333

8973 Western Dental Services, Inc. 3401 Coffee Road Suite A BAKERSFIELD 93308-5080 (661) 587-3512

4559 Bakersfield Dental Group-PDS 5120 Stockdale Highway, Suite D BAKERSFIELD 93309-2673 (661) 324-5442

8974 Western Dental Services, Inc. 4401 Ming Ave BAKERSFIELD 93309-4817 (661) 397-7400

4899 Dedicated Dental - California Center 3400 Wible Road BAKERSFIELD 93309-6507 (661) 835-8672

13066 SDDS DENTAL 6663 Ming Avenue BAKERSFIELD 93309-9349 (661) 831-0800

4901 Dedicated Dental- Town & Country 8200 Stockdale Highway, Suite M-9 BAKERSFIELD 93311-1029 (661) 834-9042

15318 Stockdale Smiles Dentistry and Orthodontics- PDS 11120 Stockdale Highway, Suite 103 BAKERSFIELD 93311-9998 (661) 665-0080

4902 Dedicated Dental- Rosedale 9600 Rosedale Hwy, Ste A BAKERSFIELD 93312-2101 (661) 589-5248

4699 River Lakes Dental Group-PDS 9510 Hageman Road, Suite B BAKERSFIELD 93312-3953 (661) 829-2700

4905 Dedicated Dental - Panama 3150 Panama Lane, Suite I BAKERSFIELD 93313-3730 (661) 396-0156

KERN COUNTY

ALAMEDA COUNTY

BUTTE COUNTY

CONTRA COSTA COUNTY

EL DORADO COUNTY

FRESNO COUNTY

IMPERIAL COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 2: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY13334 Gosford Village Dental Group and Orthodontics 5353 Gosford Road, Suite # 103 BAKERSFIELD 93313-4969 (661) 588-2065

4906 Dedicated Dental - Valley 20300 Valley Blvd, Ste A TEHACHAPI 93561-8609 (661) 822-1134

9358 Western Dental Services, Inc. 1560 W Lacey Blvd, Ste 107 HANFORD 93230-3587 (559) 589-6301

9359 Western Dental Services, Inc. 210 N. 11th Ave, Ste 101 HANFORD 93230-4591 (559) 585-2170

5692 Agoura Dental 30313 Canwood Street, Suite 36 AGOURA HILLS 91301-2094 (818) 735-3800

2095 Sea Breeze Dental Care 29525 Canwood Street, Suite 200 AGOURA HILLS 91301-4230 (818) 991-9852

9613 Agape Dental 330 North Garfield Avenue Suite 2 ALHAMBRA 91801-2400 (626) 282-2452

2097 Alhambra Garfield Dental 747 S. Garfield Avenue ALHAMBRA 91801-4438 (626) 289-6815

4345 Dental Group of Arcadia 440 E Huntington Dr, Ste 101 ARCADIA 91006-3750 (626) 447-5126

7364 Live Oak Dental 288 E. Live Oak Ave, Ste C ARCADIA 91006-5640 (626) 898-0008

9101 Arcadia Dental Group 111 East Live Oak Avenue ARCADIA 91006-9998 (626) 445-1181

5098 Santa Anita Dental Group-PDS 721 W. Huntington Drive Suite B ARCADIA 91007-6734 (626) 574-1766

2105 Osborne Dental Office 13205 Osborne, Suite F ARLETA 91331-4083 (818) 890-2426

2107 Sima Boostanfar, D.M.D. 9069 1/2 Woodman Ave ARLETA 91331-6463 (818) 893-8799

2111 Gazal Egari D.D.S., Inc. 18011 Pioneer Blvd., Suite C ARTESIA 90701-3904 (562) 402-4492

2109 Sioe Hwa Ong, D.D.S., Inc. 17906 S. Pioneer Blvd., Ste 100 ARTESIA 90701-3972 (562) 860-9612

15251 St. John Dental 910 E Gladstone Street AZUSA 91702-4747 (626) 332-3000

6307 James Ahn DDS 315 E Gladstone Street AZUSA 91702-4928 (626) 969-6728

10485 Apple Dental 891 E. Arrow Highway, Suite B AZUSA 91702-5868 (626) 332-4788

5005 West Coast Dental Group of Baldwin Park 4000 La Rica Ave, Ste D BALDWIN PARK 91706-3163 (626) 430-9171

6538 San Jose Young Dental 14514 Ramona Blvd, Suite 1 BALDWIN PARK 91706-3361 (626) 337-4700

6712 Frank Cho, DDS 13020 Francisquito Avenue, Suite 7 BALDWIN PARK 91706-3753 (626) 962-9474

7765 Antranig Gary Kelleyan, DDS 13734 Ramona Boulevard BALDWIN PARK 91706-4021 (626) 960-6616

7877 Total Dental Care & Orthodontics 3060 Baldwin Park Blvd, Ste D100 BALDWIN PARK 91706-4704 (626) 813-4488

2118 Gage Family Dental Group 4127 E Gage Ave BELL 90201-1128 (323) 773-2931

6902 Dental and Implant Care Center 4203 Gage Avenue BELL 90201-1212 (323) 312-0500

4964 Bell Plaza Dental Center 6343 Atlantic Ave, Suite C BELL 90201-1218 (323) 771-7226

4764 F Michael Yerbi D.D.S. 3464 E Gage Ave BELL 90201-2131 (323) 582-2292

4985 New Millennium Dental Group 4019 Florence Avenue BELL 90201-3403 (323) 560-6096

4528 St. Mary & St. George Dental Center 6905 1/2 S Atlantic Ave BELL 90201-3661 (323) 773-5029

6731 Grace Dentistry, Inc 6501 Eastern Avenue, Suite B BELL GARDENS 90201-3003 (323) 773-2082

7453 All American Dental Center 7615 Eastern Avenue BELL GARDENS 90201-4509 (323) 583-4660

9574 Gardens Dental Group 7218 Garfield Avenue BELL GARDENS 90201-4812 (562) 927-4110

4684 Rosecrans Dental Group 9222 E. Rosecrans Ave. BELLFLOWER 90706-2140 (562) 272-0222

9914 Bellflower Dental Group 10318 East Rosecrans Avenue BELLFLOWER 90706-2702 (562) 925-3765

9073 Western Dental Services, Inc. 9755 Alondra Boulevard BELLFLOWER 90706-3677 (562) 925-4022

3628 Dr. Lim Dental 10120 Alondra Blvd. BELLFLOWER 90706-3904 (562) 920-6644

4397 California Dental Group Of Bellflower 10106 Alondra Boulevard, Suite A BELLFLOWER 90706-3904 (562) 867-5117

9862 Smile Center Dental Group 16537 Bellflower Boulevard, Suite B BELLFLOWER 90706-5449 (562) 866-7073

15143 Emmanuel Angeles, DDS, Inc. 9824 Maple Street BELLFLOWER 90706-5906 (562) 925-4466

4619 Coast Dental of California 17240 Downey Ave BELLFLOWER 90706-6105 (562) 531-0221

5070 Universal Care Dental 17660 Lakewood Blvd. BELLFLOWER 90706-6410 (562) 461-1180

5987 Dental Care 90210 416 North Bedford Drive #103 BEVERLY HILLS 90210-4308 (310) 278-9624

4324 Robert N Abdi D.D.S. 9301 Wilshire Blvd. # 407 BEVERLY HILLS 90210-6141 (310) 271-3225

4814 Dental Group of Beverly Hills 250 N Robertson Blvd Suite 412 BEVERLY HILLS 90211-1793 (310) 271-3003

2135 Pacific Dental Care 9025 Wilshire Blvd., Suite 315 BEVERLY HILLS 90211-1827 (310) 274-7485

2137 American Dental Group 50 N. La Cienega Blvd., Suite 206 BEVERLY HILLS 90211-2246 (310) 659-7949

4460 Burbank/Glendale Dental Group 500 E Olive Ave. Suite 430 BURBANK 91501-2171 (818) 567-4662

10159 Burbank Glendale Dental Group 216 East Alameda Avenue BURBANK 91502-1508 (818) 848-3026

4732 Empire Dental Group-PDS 1635 North Victory Pl BURBANK 91502-1645 (818) 565-0057

9099 Western Dental Services, Inc. 1107 North San Fernando Boulevard BURBANK 91504-4331 (818) 295-2566

8563 Calabasas Dental Institute 4764 Park Granada, Suite 107 CALABASAS 91302-3322 (818) 224-2420

7831 101 Dental Group 7259 Owensmouth CANOGA PARK 91303-1530 (818) 999-9900

5852 Omega Dental Group 21712 Sherman Way CANOGA PARK 91303-1931 (818) 430-9288

13563 White Smile Dental Group 21601 Vanowen Street, Suite 100 CANOGA PARK 91303-2752 (818) 887-0260

6756 Cosmeticare 21123 Victory Boulevard CANOGA PARK 91303-2828 (818) 888-2700

2156 Latin Dental Center 21001 Sherman Way Suite #13 CANOGA PARK 91303-3680 (818) 346-7032

6332 Abolghasem Sinai DDS 7257 Vassar Avenue #203 CANOGA PARK 91303-4409 (818) 251-9794

4483 Westside Dental Care 20832 Roscoe Boulevard, Suite 101 CANOGA PARK 91306-2069 (818) 998-7645

2160 Canyon Country Family Dentistry 18507 Soledad Canyon Road CANYON COUNTRY 91351-3722 (661) 252-0020

8036 Great Choice Community Dental 247 West Carson Street CARSON 90745-2604 (310) 847-7077

9621 Care Dental Center 23517 Main Street Suite 106 CARSON 90745-5237 (310) 513-0222

4624 Coast Dental of California 550 E Del Amo Blvd CARSON 90746-3314 (310) 515-5672

8735 Castaic Dental Center 31886 North Castaic Road CASTAIC 91384-3946 (661) 257-2300

4726 Hasley Canyon Dental Group-PDS 29655 The Old Road CASTAIC 91384-4570 (661) 702-8338

6480 Cerritos Towne Center Dentistry 17550 Bloomfield Ave, Ste C CERRITOS 90703-8584 (562) 809-4464

2171 Devonshire Plaza Dental Group 10230 Canoga Avenue CHATSWORTH 91311-3007 (818) 341-8400

6986 Future Dental Care 10242 Canoga Avenue CHATSWORTH 91311-3007 (818) 882-5252

10161 Unique Family Cosmetic Dentistry 18558 Gale Avenue, Suite 266 CITY OF INDUSTRY 91748-1396 (626) 581-3188

13292 Valley Dental 17595 Almahurst Street, Suite 101-2 CITY OF INDUSTRY 91748-9909 (626) 965-7445

6041 Walnut Smiles-PDS 21750 Valley Blvd, Ste C CITY OF INDUSTRY 91789-0939 (909) 595-0807

9035 Western Dental Services, Inc. 740 South Indian Hill Boulevard, Suite # B CLAREMONT 91711-5400 (909) 625-1446

6341 Rodney Cobb DDS 818 West Alondra Blvd. COMPTON 90220-3500 (310) 632-2113

9082 Western Dental Services, Inc. 1821 North Long Beach Boulevard COMPTON 90221-1203 (310) 639-4300

9992 Golden State Dental Group 1601 North Long Beach Boulevard COMPTON 90221-1610 (310) 639-5000

KINGS COUNTY

LOS ANGELES COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 3: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY3926 Compton Family Dental Practice 1315 N. Bullis Road., Suite 3 COMPTON 90221-1652 (310) 639-5330

2178 Compton Family Dental Center 2001 E Compton Blvd COMPTON 90221-3548 (310) 639-7970

4256 Dental Group Of Covina 1406 N. Azusa Avenue, Suite C COVINA 91722-1257 (626) 858-9940

7781 Covina Dental Arts and Orthodontics 558 West Badillo Street COVINA 91722-3762 (626) 331-0506

6474 College Street Family Dentistry 153 West College Street COVINA 91723-2008 (626) 339-9085

5739 Ahmed Saeed, DDS, Inc. 661 South 2nd Avenue COVINA 91723-3518 (626) 966-3571

2186 St. James Dental Group 7607-9 Atlantic Avenue CUDAHY 90201-5019 (323) 771-7254

4780 Culver City Family Dentistry 4909 S Sepulveda Blvd CULVER CITY 90230-5264 (310) 313-3100

6952 Dental Studio of Culver City 10119 Washington Boulevard CULVER CITY 90232-3147 (310) 202-9009

2191 Najla Samaan, D.D.S. 750 N Diamond Bar Blvd., Suite 216 DIAMOND BAR 91765-1023 (909) 860-3111

9842 Diamond Dental Care 303 South Diamond Bar Boulevard, Suite 2C DIAMOND BAR 91765-1613 (909) 860-7579

13344 Golden Springs Family Dentistry 23341 Golden Springs Drive, Suite #206 DIAMOND BAR 91765-2054 (909) 396-7774

4791 Edward H Mousally D.D.S. 23525 Golden Springs Dr Suite C DIAMOND BAR 91765-2175 (909) 860-9399

8056 Diamond Bar Smiles-PDS 2841 South Diamond Bar Boulevard, Suite B DIAMOND BAR 91765-3473 (909) 860-6232

7460 Downey Dental Solutions 7825 E. Florence Avenue, Suite B DOWNEY 90240-3727 (562) 928-8900

6759 Quality Dentistry with a Soft Touch 8485 Florence Avenue DOWNEY 90240-3918 (562) 869-2091

13582 Downey Dental Center 8515 Florence Ave., Ste. #200 DOWNEY 90240-4043 (562) 869-4532

10167 Dr. Zak Downey Dental Care 10501 Lakewood Boulevard, Suite A&B DOWNEY 90241-2709 (562) 862-2341

4289 Soheir S Azer, D.D.S. 10800 PARAMOUNT BLVD STE 307 DOWNEY 90241-3324 (562) 923-3714

7484 Monica H. Puentes, DDS 11116 Rives Avenue DOWNEY 90241-4212 (562) 861-3181

4626 Coast Dental of California 9474 Firestone Blvd DOWNEY 90241-5504 (562) 803-4224

9112 Western Dental Services, Inc. 9906 East Imperial Hwy DOWNEY 90242-3207 (562) 940-6463

8024 Cheng and Kim, DDS 8029 East Imperial Highway DOWNEY 90242-3713 (562) 862-6979

8430 Farnaz Hayavi DDS, Inc. 8301 Imperial Highway DOWNEY 90242-3830 (562) 862-5777

4672 Ying Wu D.D.S., Inc. 12651 Lakewood Blvd #101 DOWNEY 90242-4563 (562) 904-1150

4285 Shahriyar Behjou Dental Corporation 10755 Lower Azusa Road, Suite D EL MONTE 91731-1300 (626) 448-2040

6921 Sunshine Dental Group 4161 Tyler Avenue EL MONTE 91731-1966 (626) 579-4274

5783 El Monte Dental 3701 Santa Anita Avenue EL MONTE 91731-2430 (626) 442-4582

2207 Victor A. Martin, D.D.S. 3564 Santa Anita Avenue, Suite F EL MONTE 91731-2458 (626) 401-9808

2208 Family Dentistry 9060 TELSTAR AVE STE 206 EL MONTE 91731-2800 (626) 571-5975

9054 Western Dental Services, Inc. 11450 Valley Boulevard EL MONTE 91731-3230 (626) 575-5850

3677 Khan Dental Corportion 4900 N Peck Road EL MONTE 91732-1422 (626) 579-5158

8057 Peck Road Dental Care 3913 North Peck Road EL MONTE 91732-2244 (626) 350-1111

9876 Alfonso Martinez D.D.S. 11733 East Valley Boulevard, Suite A EL MONTE 91732-3073 (626) 575-7565

4462 American Dental Office 12220 E Valley Blvd Ste. D&E EL MONTE 91732-3149 (626) 401-2554

4448 Atlas Dental Care 2732 Santa Anita Avenue EL MONTE 91733-2262 (626) 444-2605

13257 Bella Dental 10811 East Garvey Avenue EL MONTE 91733-2301 (626) 442-6115

2214 Dental Dreams 5363 Balboa Blvd. #346 ENCINO 91316-2836 (818) 990-3551

4890 Encino Dental Esthetics 17525 Ventura Blvd Suite 100 ENCINO 91316-5100 (818) 784-7832

6302 Encino Cosmetic Dental Group 16133 Ventura Blvd #1100 ENCINO 91436-2415 (818) 906-2222

2217 Encino Family Dental Group 15720 Ventura Blvd., Suite 322 ENCINO 91436-2993 (818) 788-7060

3632 Dan Rosen, D.D.S. 16542 Ventura Blvd., Suite 505 ENCINO 91436-4576 (818) 907-6736

6084 Sunny Smile Dental Center 1600 W. Redondo Beach Blvd #203 GARDENA 90247-3228 (310) 808-0198

4759 Yampolsky Dental A Professional Corporation 1210 W Redondo Beach Blvd GARDENA 90247-3411 (310) 523-9009

4760 City Dental Center 1300 W 155th St Suite 208 GARDENA 90247-4061 (310) 715-2723

9497 Mirzoyan Dental Corporation 1127 North Pacific Avenue GLENDALE 91202-2358 (818) 551-1127

5517 Central Dental Care 1110 N. Brand Blvd, Ste 202 GLENDALE 91202-2567 (818) 242-4781

2223 Alenoush Bagdasaryan, D.D.S. 457 PALM DR STE 100 GLENDALE 91202-3221 (818) 956-3733

5742 Melineh Arakelian, DDS 411 N. Central Avenue, Suite 120 GLENDALE 91203-2020 (818) 956-7137

15345 Koharik Janoyan D.D.S. 411 N Central Avenue, Suite 360 GLENDALE 91203-2086 (818) 240-8998

6796 Jamsheed & Sooferi, A Professional Corporation 214 N. Central Avenue GLENDALE 91203-3556 (818) 243-8888

15275 Town Center Dentistry 316 E Broadway, Suite A GLENDALE 91205-1011 (818) 548-7700

13690 Cosmetic Dental Center 727 E. Broadway GLENDALE 91205-1103 (818) 240-5888

5049 Dental Central Group 814 E. Broadway, Ste 4 GLENDALE 91205-4554 (818) 241-1160

10168 Irina M. Sahaki D.D.S., Inc. 520 E. Broadway, Suite 402 GLENDALE 91205-4912 (818) 241-2424

4493 Glendora Dental Center 610 E. Route 66 GLENDORA 91740-3507 (626) 335-7727

10297 New Vision Dental 1814 E. Route 66, Suite B GLENDORA 91740-3869 (626) 963-7000

5475 Glendora Smiles - PDS 605 W. Route 66 GLENDORA 91740-4122 (626) 771-1320

7802 Woodglen Dental Center 220 S. Glendora Ave, Ste B GLENDORA 91741-3439 (626) 914-4054

5523 Dr. Soliman Dental Office 150 S. Grand Ave, Ste F GLENDORA 91741-4720 (626) 914-3150

5147 Balboa Dental Group and Orthodontics-PDS 11850 1/2 Balboa Blvd. GRANADA HILLS 91344-2753 (818) 360-1946

13063 Comfort Smile Family Dentistry 15724 East Gale Avenue HACIENDA HEIGHTS 91745-1518 (626) 333-5244

7482 Dr. Viola Iskarous 2440 S. Hacienda Boulevard, Suite 233 HACIENDA HEIGHTS 91745-4744 (626) 968-0052

5879 Katy Chou, DDS., Inc. 17138 E. Colima Rd, Ste C HACIENDA HEIGHTS 91745-6783 (626) 854-1826

5976 Tricity Smiles Dental Group- PDS 17188 E. Colima Rd, Ste B HACIENDA HEIGHTS 91745-6787 (626) 581-7878

5818 Bay Harbor Dental Office 1537 W. Lomita Blvd HARBOR CITY 90710-2024 (310) 530-5252

6039 Daily Dental Group 11633 Hawthorne Blvd, Ste 502 HAWTHORNE 90250-2369 (310) 644-4464

4779 Santa Maria Dental Office 11938 S Hawthorne Blvd HAWTHORNE 90250-3016 (310) 973-0945

15327 Choice Dental Group - Hawthorne 12730 Hawthorne Blvd, Suite D HAWTHORNE 90250-3919 (310) 644-4000

15440 Saint George Family Dentistry 13109 Hawthorne Boulevard HAWTHORNE 90250-4416 (310) 973-2600

13555 Comfort Dental Center 4277 W. El Segundo Blvd. HAWTHORNE 90250-4548 (310) 970-0900

4963 LA Dental Care 12820 Inglewood Ave. HAWTHORNE 90250-5118 (310) 349-1980

6022 Sunrise Dental Group 13624 Hawthorne Blvd. #205 HAWTHORNE 90250-5818 (310) 856-6574

4420 Hawthorne Dental 13935 S. Hawthorne Blvd. HAWTHORNE 90250-7001 (310) 973-6428

9295 Western Dental Services, Inc. 14248 Hawthorne Blvd HAWTHORNE 90250-7008 (310) 978-2973

15432 Hermosa Smiles Dentistry-PDS 1559 Pacific Coast Highway, Suite 101 HERMOSA BEACH 90254-3214 (310) 372-7686

4481 Edmond Janfaza D.D.S. 2675 East Slauson Avenue, Suite 300 HUNTINGTON PARK 90255-2926 (323) 589-3391

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 4: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY3623 Bellgrave Family Dental Group 6011 Pacific Blvd., Suite 120 HUNTINGTON PARK 90255-2959 (323) 584-6777

13754 Huntington Park Family Dental 2711 East Slauson Avenue HUNTINGTON PARK 90255-3002 (323) 582-4474

6710 Naum Fayngor Dental Corp 6416 Santa Fe Ave HUNTINGTON PARK 90255-3808 (323) 588-6480

4761 Your Choice Dental 6601 Rugby Ave Suite 400 HUNTINGTON PARK 90255-4046 (323) 585-1515

8444 Pro Dentista 2634 Clarendon Avenue HUNTINGTON PARK 90255-4120 (323) 585-2777

9034 Western Dental Services, Inc. 2630 E Gage Avenue HUNTINGTON PARK 90255-4122 (323) 587-1788

4844 Kids & Adult Dental Care 2625 E Florence Ave Suite C HUNTINGTON PARK 90255-4756 (323) 277-9191

4872 Huntington Family Dental 2542 E Florence Ave Suite A HUNTINGTON PARK 90255-4774 (323) 582-0755

7457 Eduardo W. Servin Diaz 6615 Seville Avenue HUNTINGTON PARK 90255-4801 (323) 581-1010

5798 Binafard Dental Land 7136 Pacific Blvd, Ste 210 HUNTINGTON PARK 90255-7620 (323) 585-1000

9204 Comprehensive Dental Care 141 N. Prairie Ave INGLEWOOD 90301-1904 (310) 330-0080

5789 Raymont H Johnson DDS 808 E. Manchester Blvd. INGLEWOOD 90301-1914 (310) 671-1234

5793 Charles A. Mattison, DDS 933 Centinela Avenue INGLEWOOD 90302-1501 (310) 677-4085

4837 John Benlavi, D.M.D. 2798 W IMPERIAL HWY INGLEWOOD 90303-3111 (323) 418-8888

13284 Lax Dental Group 4201 West Century Boulevard INGLEWOOD 90304-4161 (310) 981-9000

10296 La Canada Smiles Dentistry Dental Group - PDS 2220 Foothill Boulevard, Suite A LA CANADA FLINTRIDGE 91011-1413 (818) 248-1021

4737 Crescenta Family Dental 2644 Foothill Blvd. LA CRESCENTA 91214-3510 (818) 248-9988

13790 New Age Dental 14545 East Telegraph Road LA MIRADA 90638-1054 (562) 777-1188

6297 Vahag Mehrabian 15071 E. Imperial Highway LA MIRADA 90638-1302 (562) 947-7000

5715 Gad Professional Dental Corp. 12252 La Mirada Blvd. LA MIRADA 90638-1306 (562) 943-0151

5806 La Mirada Family Dental 13922 Imperial Highway LA MIRADA 90638-1725 (562) 926-7025

8404 La Mirada Community Dental Office 14930 East Imperial Highway, Suite D LA MIRADA 90638-2100 (562) 777-1234

13697 Imperial Dental 15769 E. Imperial Hwy LA MIRADA 90638-2510 (562) 902-9898

8598 Fairgrove Dental Center 15260 East Fairgrove Avenue LA PUENTE 91744-1067 (626) 968-4733

10580 Clinica Dental Del Sol 1431 N. Hacienda Boulevard LA PUENTE 91744-1133 (626) 919-2315

10272 David Chou, D.D.S., American Dental Care 1206 North Hacienda Boulevard LA PUENTE 91744-1630 (626) 917-8630

4206 Smileswest 15448 E Amar Rd LA PUENTE 91744-2802 (626) 810-8222

9060 Western Dental Services, Inc. 835 North Hacienda Boulevard LA PUENTE 91744-2809 (626) 333-3384

8774 Puente Family Dental Care 864 N Hacienda Blvd LA PUENTE 91744-2847 (626) 333-8166

2286 Dr. Pharar's Dental Office 17311 E. Valley Blvd., Suite B LA PUENTE 91744-5696 (626) 810-2444

4546 La Verne Dental Group -PDS 2216 Foothill Blvd LA VERNE 91750-2944 (909) 392-3899

4139 Dental Care of La Verne 2323 Foothill Blvd. LA VERNE 91750-3027 (909) 596-1861

4685 Lakewood Plaza Dental 4346 South St. LAKEWOOD 90712-1152 (562) 408-3500

8486 Candlewood Smiles Dental Group-PDS 4443 Candlewood Street LAKEWOOD 90712-1736 (562) 634-5042

13191 Lakewood Family Dental Group 5203 Lakewood Boulevard, Suite A LAKEWOOD 90712-2438 (562) 531-7373

9539 Lakewood Dental Arts 5555 Del Amo Boulevard LAKEWOOD 90713-2307 (562) 866-1735

2298 Lakewood Family Dentistry 11455 E. Carson Street, Suite E LAKEWOOD 90715-2581 (562) 860-7116

4988 Elite Dental 44439 N. 17th Street West, Suite 201 LANCASTER 93534-2856 (661) 723-1461

3919 Family Dental Practice of Lancaster 44558 10th Street West LANCASTER 93534-3333 (661) 723-1111

6784 Golden Dental 803 West Avenue J LANCASTER 93534-3426 (661) 948-8100

10568 Premier Dental Care 43845 10th Street West, Suite 1A LANCASTER 93534-4800 (661) 948-9646

4628 Coast Dental of California 1228 West Avenue K LANCASTER 93534-5922 (661) 949-1970

3613 Hi Desert Dental Center 1745 W. Avenue K, Suite C LANCASTER 93534-6504 (661) 723-5400

9294 Western Dental Services, Inc 44407 Challenger Way LANCASTER 93535-3237 (661) 341-3100

4782 Lancaster Dental Care Associates 2030 West Ave J LANCASTER 93536-5913 (661) 949-6757

13343 Hanna Dentistry 14314 Hawthorne Boulevard LAWNDALE 90260-1515 (310) 676-6400

13320 Vadadent, Modern Dental Group 16002 Hawthorne Boulevard LAWNDALE 90260-2646 (310) 371-4104

6035 A Dentistry 1816 Lomita Blvd LOMITA 90717-1906 (310) 326-4117

9950 Western Dental Services, Inc. 1929 Pacific Coast Highway, Unit A LOMITA 90717-2647 (310) 602-7092

15281 Long Beach Dental 308 Orange Avenue LONG BEACH 90802-3536 (562) 436-4214

5009 Bashar Komoc, DDS 3318 E. Anaheim Street LONG BEACH 90804-4025 (562) 986-5570

4269 Asha Mehta, DDS Inc 6950 Paramount Blvd. LONG BEACH 90805-1863 (562) 531-9711

3960 Family Dentistry 5399 Orange Avenue LONG BEACH 90805-6017 (562) 422-9698

5680 United Family Dental 141-P E. WiIllow Street LONG BEACH 90806-2634 (562) 988-2888

5028 Omega Family Dental 816 W. Willow Street LONG BEACH 90806-2837 (562) 595-7077

5069 Universal Care Dental 2360 Pacific Avenue LONG BEACH 90806-3051 (562) 595-0731

13325 National Dental 2407 Atlantic Avenue LONG BEACH 90806-3221 (562) 981-1000

4682 Long Beach Family Dental Group 2006 Long Beach Blvd., Ste. E LONG BEACH 90806-4958 (562) 218-6575

4319 Dr. Sung Young Lee 4301 Atlantic Ave, Ste 4 LONG BEACH 90807-2833 (562) 426-9308

6280 Victor De Los Santos DDS 3712 Atlantic Avenue Suite C LONG BEACH 90807-3542 (562) 426-1298

2317 Maged Z. Nessim, D.D.S. 3440 ATLANTIC AVE STE 2A LONG BEACH 90807-4568 (562) 424-0724

10523 Dr. Zak Long Beach Dental Care 3620 Long Beach Boulevard, Suite B6 LONG BEACH 90807-6008 (562) 426-6458

4669 ACCU Dental Group 6413 E Spring St LONG BEACH 90808-4022 (562) 938-8388

5077 Universal Care Dental 3325 Palo Verde Street, Suite 208 LONG BEACH 90808-4132 (562) 429-1642

4762 Family Dental Care 1327 Long Beach Blvd LONG BEACH 90813-3226 (562) 218-5555

10560 Mariana Basha, D.D.S., Inc. 1183 E. Anaheim Street LONG BEACH 90813-3662 (562) 912-4367

9032 Western Dental Services, Inc. 1150 East Anaheim St. LONG BEACH 90813-3663 (562) 435-3390

5134 Long Beach Dental Group 659 Redondo Ave. LONG BEACH 90814-1454 (562) 439-0494

9296 West Coast Dental Group of Long Beach 1835 Ximeno Ave LONG BEACH 90815-2850 (562) 453-1111

13455 West Coast Dental Group of Gage 1423 East Gage Avenue, Suite A LOS ANGELES 90001-1771 (323) 983-4000

4767 Florence Compton Dental 7110 S Compton Ave LOS ANGELES 90001-2528 (323) 585-5588

6516 Florence Dental Group 1575 E. Florence Ave, Ste A LOS ANGELES 90001-2555 (323) 537-4121

10566 Edward Lopez American Dental 2033 E. Florence Avenue LOS ANGELES 90001-2754 (323) 583-8896

FQHC5047 Watts HealthCare - Dental 10300 Compton Ave. LOS ANGELES 90002-3628 (323) 357-6600

9332 Western Dental Services, Inc. 355 W. Manchester Ave. LOS ANGELES 90003-3327 (323) 751-4100

13342 David Shabanzadeh, D.D.S., Inc 326 North Vermont Avenue, Suite #B LOS ANGELES 90004-3511 (323) 661-2626

9114 Western Dental Services, Inc. 4165 West Beverly Boulevard LOS ANGELES 90004-4418 (323) 662-0738

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 5: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4976 Alegria Dental Center 4214 W. Beverly Boulevard, Suite 208 & 209 LOS ANGELES 90004-4429 (213) 384-8400

6587 Dental Park/ Sherie S. Park 753 S. Vermont Ave LOS ANGELES 90005-1518 (213) 385-2875

7527 Green Dental 3054 West 8th Street, Suite #106 LOS ANGELES 90005-1895 (213) 387-2864

4763 F Michael Yerbi D.D.S. 2527 W Pico Blvd LOS ANGELES 90006-4003 (213) 380-2426

4800 La Paz Medical Clinic 1107 S Alvarado St, Suite 102 LOS ANGELES 90006-4161 (213) 380-9999

9239 Western Dental Services, Inc 1565 S. Western Ave LOS ANGELES 90006-4233 (323) 734-8843

5809 Normandie Dental Clinic 1690 W. Adams Blvd LOS ANGELES 90007-1535 (323) 730-0924

4998 Crystal Dental 2206 South Figueroa Street LOS ANGELES 90007-2049 (213) 748-8448

10113 West Coast Dental of Los Angeles 2604 S. Vermont Avenue, Suite F LOS ANGELES 90007-2298 (323) 731-3333

4719 Dental Central Group 3009 S VERMONT AVE LOS ANGELES 90007-3033 (323) 730-7200

4778 Nelson E Walker III D.D.S. 3756 Santa Rosalia Dr Suite 317 LOS ANGELES 90008-3615 (323) 290-5340

5041 Wilshire Center Dental Group 3932 Wilshire Blvd, Ste #100 LOS ANGELES 90010-3307 (213) 386-3336

9085 Western Dental Services, Inc. 4364 South Central Avenue LOS ANGELES 90011-3527 (323) 232-5266

8416 Chinatown Dental Center 630 West College Street LOS ANGELES 90012-1616 (213) 626-7311

FQHC10140 JWCH Institute, Inc. 522 S. San Pedro Street LOS ANGELES 90013-2102 (213) 486-4077

8645 Pico Dental Group 1561 West Pico Boulevard LOS ANGELES 90015-2407 (213) 251-9994

6513 Dental Center of San Miguel 115 E. Washington Blvd Suite C LOS ANGELES 90015-3606 (213) 234-5530

2343 Centro Medico & Dental Familiar 514 E. Washington Blvd. LOS ANGELES 90015-3723 (213) 749-3934

2345 Dr Black's Crenshaw Professional Dental Center 3015 Crenshaw Blvd. LOS ANGELES 90016-4264 (323) 731-0801

9260 La Brea Family Dental Group 3400 S. La Brea Ave. LOS ANGELES 90016-5217 (323) 734-2284

7589 West Coast Dental Group of 6th Street 1725 West 6th Street LOS ANGELES 90017-1000 (213) 413-5151

5071 Universal Care Dental 1111 W 6th St, Ste 120 LOS ANGELES 90017-1823 (213) 895-0009

3611 Kenneth K. Chang, D.D.S. 4026 W. Olympic Blvd. LOS ANGELES 90019-3257 (323) 930-1744

4932 Smile With Us 5417 Venice Blvd LOS ANGELES 90019-5163 (323) 634-9950

8489 Stanford Dental Group 807 East 12th Street, Suite 211 LOS ANGELES 90021-2178 (213) 747-7888

4447 Keromina Dental 4777 Fisher Street 2nd Floor LOS ANGELES 90022-1301 (323) 268-3395

5464 East Los Angeles Family Dentistry 4410 East Whittier Boulevard LOS ANGELES 90022-1531 (323) 881-0881

2347 Prakash A. Joshi, D.D.S. 4545 3rd Street, Suite 108 LOS ANGELES 90022-1656 (323) 780-0189

13558 Dr. Namian Family Dentistry 609 S. Atlantic Blvd. LOS ANGELES 90022-3211 (323) 980-9768

6292 United Family Dental Group 5109 E. Whittier Boulevard LOS ANGELES 90022-3926 (323) 265-2222

4967 West Coast Dental of East Los Angeles 5162 Whittier Blvd LOS ANGELES 90022-3932 (323) 415-6161

9056 Western Dental Services, Inc. 906 South Soto Street LOS ANGELES 90023-1323 (323) 263-9063

4789 Whittier Dental Group 2901 E Whittier Blvd Suite D LOS ANGELES 90023-1533 (323) 526-1992

4203 Regala Family Dentistry 4065 Whittier Blvd., Suite 201 LOS ANGELES 90023-2557 (323) 268-3877

8797 Shauna Lee, DDS 4146 East Olympic Boulevard, Suite F LOS ANGELES 90023-3347 (323) 269-8007

6340 Jonathan C Yeung DDS 1148 S. Rowan Avenue #1 LOS ANGELES 90023-3359 (323) 267-1622

13020 Smile Dental 3356 East Olympic Boulevard LOS ANGELES 90023-3724 (323) 269-5221

5884 Westwood Village Dental 951 Westwood Blvd LOS ANGELES 90024-2904 (310) 824-2225

6407 Westwood Dental Care 10921 Wilshire Boulevard, Suite 601 LOS ANGELES 90024-3906 (310) 208-8551

13442 Angeleno Smiles 10921 Wilshire Boulevard, Suite 409 LOS ANGELES 90024-4001 (310) 824-2624

6883 Michael A. Schneider, DMD & Associates 10921 Wilshire Boulevard, Suite 809 LOS ANGELES 90024-4003 (310) 208-6813

4486 Fred Nayssan D.D.S. 10350 Santa Monica Blvd #190 LOS ANGELES 90025-5073 (310) 557-1704

9860 Sunset Family Dentistry 2613 West Sunset Boulevard LOS ANGELES 90026-3905 (213) 484-1845

13747 Hollywood-Vine Dental Office 5280 Hollywood Blvd. LOS ANGELES 90027-4913 (323) 469-9169

13602 Sami Y. Nouhad, D.D.S. 7080 Hollywood Blvd., #817 LOS ANGELES 90028-6935 (323) 466-3541

9896 White Plus Dental 1075 North Western Avenue, Suite 102 LOS ANGELES 90029-2346 (323) 466-4567

4815 RaminTour D.D.S. 907 N Virgil Ave LOS ANGELES 90029-2911 (323) 661-8384

4204 Dental Pros 906 N. Vermont Avenue LOS ANGELES 90029-3519 (323) 953-7700

5796 Byung Kim Dentist 765 North Virgil Ave. LOS ANGELES 90029-3646 (323) 665-5887

2364 Arturo Ibarra, D.D.S. 2407 N. Broadway LOS ANGELES 90031-2218 (323) 221-3165

10567 Edward Lopez, D.D.S., American Dental 2716 N. Broadway, Suite 214 LOS ANGELES 90031-2635 (323) 221-5931

4416 Anthony S. Pan, D.M.D. 3346 N Eastern Ave. LOS ANGELES 90032-1948 (323) 227-1800

6224 Universal Care Dental 2839 N. Eastern Ave LOS ANGELES 90032-2701 (323) 987-1020

FQHC9516 Clinica Msr. Oscar A. Romero 2032 Marengo Street LOS ANGELES 90033-1319 (323) 987-1419

2365 Boyle Heights Family Dentistry 2110 Cesar E. Chavez Avenue LOS ANGELES 90033-1823 (323) 268-8308

4640 William Ginzburg 3130 S Sepulveda Blvd D LOS ANGELES 90034-4214 (310) 268-0646

4687 Beverly Hills Prestige Dental Group 1125 S. Beverly Dr., Ste. 400 LOS ANGELES 90035-1152 (310) 286-7447

9052 Western Dental Services, Inc. 1200 W. Martin Luther King Boulevard LOS ANGELES 90037-1722 (323) 295-8004

4968 Shenouda F. Gewaid DDS 231 W. Vernon Ave Suite 107 LOS ANGELES 90037-2778 (323) 233-5906

6070 Vernon Family Dental 968 W. Vernon Ave LOS ANGELES 90037-3039 (323) 234-4889

6064 Total Dental Care & Orthodontics 5703 S. Vermont Ave LOS ANGELES 90037-3930 (323) 751-5600

9229 Western Dental Services, Inc 6260 Santa Monica Blvd LOS ANGELES 90038-1704 (323) 465-9055

13746 Santa Monica Family Dental 5828 Santa Monica Blvd LOS ANGELES 90038-2002 (323) 871-9191

4185 Dr Tsolakyan Dental Office 3161 Los Feliz Blvd. LOS ANGELES 90039-1522 (323) 663-2606

13787 At Water Dental Group 3119 Glendale Blvd. LOS ANGELES 90039-1805 (323) 660-5186

6477 A Briter Smile Dental Group 4905 York Blvd LOS ANGELES 90042-1609 (323) 255-8774

4766 Highland Family Dental Group 5740 1/2 York Boulevard LOS ANGELES 90042-2617 (323) 257-0915

6800 Mervat S. Bakhoum, DDS 5540 N. Figueroa Street LOS ANGELES 90042-4120 (323) 478-1101

4329 Dental Center of Highland Park 5807 N. Figueroa Street LOS ANGELES 90042-4227 (323) 982-0999

3637 Devang M. Gandhi Dental Corp. 2500 W Florence Ave LOS ANGELES 90043-5144 (323) 750-2082

9109 Vermont Dental Care 8914 South Vermont Avenue LOS ANGELES 90044-4834 (323) 750-3370

15355 Continental Dental Group 600 W. Manchester Avenue, Suite 2 LOS ANGELES 90044-5700 (323) 750-1582

2381 Airport Center Family Dental 5304 W. Century Boulevard LOS ANGELES 90045-5910 (310) 215-1455

4629 Coast Dental of California 1440 W Manchester Ave LOS ANGELES 90047-5422 (323) 753-1141

5055 Personal Dental Office 6222 Wilshire Blvd, Suite 103 LOS ANGELES 90048-5100 (323) 933-4444

8504 Hayk Arakelyan, DDS 6333 Wilshire Boulevard, Suite 504 LOS ANGELES 90048-5721 (323) 648-0001

9557 Wilshire Dental Group, Irina Sumenko, D.D.S., Inc. 6200 Wilshire Boulevard Suite 1104 LOS ANGELES 90048-5812 (323) 525-1819

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 6: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4868 Wilshire Smile Studio Dental Group 6200 Wilshire Blvd Suite 1609 LOS ANGELES 90048-5817 (323) 937-5773

FQHC9157 Clinica Msr. Oscar A. Romero 123 South Alvardo Street LOS ANGELES 90057-2201 (213) 201-2765

2393 Professional Dental Care 201 S. Alvarado Street, Suite 402 LOS ANGELES 90057-2353 (213) 484-2919

5082 Dr. Aram Arakelyan, DDS 2426 West 8th Street Ste#209 LOS ANGELES 90057-3872 (213) 381-3900

7450 Dr. Song, 8th and Alvarado Family Dental Group 824 S. Alvarado Street LOS ANGELES 90057-4010 (213) 252-1700

2392 Dan P. Benyamini, DDS, Inc. 1826 W. 7th Street LOS ANGELES 90057-4102 (213) 484-6660

2397 Cheryl D. Bingham, D.D.S. 11905 S. Central Avenue, Suite 203 LOS ANGELES 90059-2897 (323) 564-7504

3641 Arturo Ibarra, D.D.S. 3604 E. 1st Street LOS ANGELES 90063-2326 (323) 260-7173

3634 Cypress Dental Clinic 2135 Cypress Avenue LOS ANGELES 90065-1212 (323) 223-0731

2399 San Fernando Family Dental 3129 San Fernando Road LOS ANGELES 90065-1412 (323) 257-7744

4816 Venice Dental Group 12456 Venice Blvd LOS ANGELES 90066-3804 (310) 390-2423

6773 Villacis Dental Corporation 12027 Venice Boulevard, Suite A LOS ANGELES 90066-3844 (310) 313-5150

2403 Culver Del Rey Dental Center 12202 W. Washington Blvd. LOS ANGELES 90066-5508 (310) 915-9797

4857 West Coast Dental Group Lynwood 9910 Long Beach Blvd Suite A LYNWOOD 90262-1561 (323) 563-8900

3921 Smileswest 11035 Long Beach Boulevard, Unite #5 LYNWOOD 90262-2570 (310) 608-7777

5075 Universal Care Dental 3680 East Imperial Highway, Suite #100 LYNWOOD 90262-2663 (310) 761-8100

9119 Western Dental Services, Inc. 12420 Venice Boulevard MAR VISTA 90066-1111 (310) 482-0015

5719 Elegant Dentistry 13400 W. Washington Blvd., Suite 202B MARINA DEL REY 90292-5643 (310) 827-2792

5718 Marina Dentistry 4292 Lincoln Blvd. MARINA DEL REY 90292-5655 (310) 578-5000

2410 Southeast Dental Group 4332 E. Slauson Avenue MAYWOOD 90270-2800 (323) 773-7373

6966 Gary Garoian, DDS, Inc. 4201 East Slauson Avenue MAYWOOD 90270-2835 (323) 560-4658

9043 Western Dental Services, Inc. 4487 East Slauson Avenue MAYWOOD 90270-2943 (323) 773-9961

4631 Coast Dental of California 10331 Sepulveda Boulevard MISSION HILLS 91345-2421 (818) 810-3290

7449 West Coast Dental of Monrovia 154 W. Foothill Blvd, Ste C-2A MONROVIA 91016-2171 (626) 263-3333

9795 Dental Care 2000 Plus 148 West Foothill Boulevard MONROVIA 91016-2175 (626) 358-1833

7944 Monrovia Modern Dentistry-PDS 460 West Huntington Drive MONROVIA 91016-3202 (626) 358-3636

13279 Foothill Dental Center 837 West Foothill Boulevard MONROVIA 91016-6193 (626) 305-5722

8750 Montebello Dental Group 3301 W Beverly Blvd MONTEBELLO 90640-1536 (323) 722-6766

6960 Sky Dental 3001 West Beverly Boulevard, #100 MONTEBELLO 90640-2255 (323) 728-0327

4630 Coast Dental of California 1451 N Montebello Blvd MONTEBELLO 90640-2584 (323) 724-9955

9899 Comfort Dental Group 249 E. Beverly Boulevard, Suite A MONTEBELLO 90640-3776 (323) 726-7500

6920 David's Family Dentistry & Orthodontics 2100 W. Beverly Boulevard MONTEBELLO 90640-3902 (323) 724-9536

13291 Tigran Hovhannisyan, DDS 2059 West Whittier Boulevard MONTEBELLO 90640-4010 (323) 727-9898

6080 Noushin Adhami, DDS 1000 West Whittier Blvd. MONTEBELLO 90640-4639 (323) 346-0555

8515 Montebello Family Dental 711 West Whittier Boulevard MONTEBELLO 90640-4709 (323) 278-0170

13613 A. Gary Kelleyan, DDS 616 N. Garfield Ave. #404 MONTEREY PARK 91754-1101 (626) 280-4122

2420 Beautiful Smile Dental Group 2071 S. Atlantic Blvd., Suite F MONTEREY PARK 91754-6347 (323) 260-7878

13186 Central Dental Group 2111 South Atlantic Boulevard MONTEREY PARK 91754-6801 (323) 261-9999

6231 AG Dental 2255 Honolulu Ave, Ste B MONTROSE 91020-1635 (818) 249-9054

6938 Gabriel Henao, DDS Family Dentistry 25044 Peachland Avenue, Suite 100 NEWHALL 91321-5746 (661) 287-4352

5087 West Coast Dental Group of North Hills 15350 Nordhoff Street, Suite A NORTH HILLS 91343-2234 (818) 672-8228

13488 Ashok R. Gandhi, D.D.S. 5942 Lankershim Blvd. NORTH HOLLYWOOD 91601-1007 (818) 985-7477

2429 Gershfield Family Dental 5160 Vineland Avenue, Suite 105 NORTH HOLLYWOOD 91601-3888 (818) 761-8899

10403 Toluca Lake Cosmetic Dentistry 10724 Riverside Drive, Suite A NORTH HOLLYWOOD 91602-2313 (818) 985-5777

9877 Spectrum Dental Care 13112 Sherman Way NORTH HOLLYWOOD 91605-4645 (818) 982-6162

4296 Hersel Hanasab DDS Inc. 12926 Sherman Way NORTH HOLLYWOOD 91605-4953 (818) 765-4422

9231 Western Dental Services, Inc 12700 Sherman Way NORTH HOLLYWOOD 91605-5031 (818) 764-8843

5246 Sevak Elyaspoor D.D.S. Family Dentistry 12125 Vanowen Street, Suite 2 NORTH HOLLYWOOD 91605-5665 (818) 764-4679

13500 Pacific Dental Group 6801 Lankershim Blvd. #101 NORTH HOLLYWOOD 91605-6112 (818) 764-0718

13493 Aben Veinberg, D.D.S. 6738 Lankershim Boulevard NORTH HOLLYWOOD 91606-1615 (818) 503-9697

5722 Star Smile Dental Group 11404 Victory Blvd. NORTH HOLLYWOOD 91606-3616 (818) 508-7000

4769 Daniel Boudaie D.D.S. 10941 Victory Blvd NORTH HOLLYWOOD 91606-3717 (818) 509-1967

4278 Hamlin Dental Group 12509 Oxnard Street, Suite 201 NORTH HOLLYWOOD 91606-4440 (818) 285-5757

4551 Northridge Dental Office-PDS 18519 Devonshire St NORTHRIDGE 91324-1308 (818) 831-9990

6173 Shahram Nouri, DDS 9068 Tampa Ave NORTHRIDGE 91324-3523 (818) 885-5200

3980 Hamlin Dental Group 8540 Reseda Blvd., Suite 101 NORTHRIDGE 91324-6144 (818) 701-6667

6926 General and Cosmetic Dentistry 8676 LINDLEY AVE NORTHRIDGE 91325-3318 (818) 700-0000

6398 Homa Shahriari DDS 8632 Balboa Blvd. NORTHRIDGE 91325-3505 (818) 894-6161

4459 Paddison Dental Group 12501 S Norwalk Blvd NORWALK 90650-2042 (562) 929-0880

3666 Norwalk Family Dental 13300 San Antonio Drive NORWALK 90650-2969 (562) 863-9396

13439 Alvand Zinabadi, DDS, Inc 11850 Firestone Boulevard, Suite #6 NORWALK 90650-2979 (562) 864-1011

2437 Pioneer Dental, Inc. 14034 S. Pioneer Blvd. NORWALK 90650-3900 (562) 863-8779

9920 Norwalk Dental Associates 13828 Pioneer Boulevard NORWALK 90650-3918 (562) 863-7253

5736 Norwalk Family Dental 12319 E. Imperial Hwy NORWALK 90650-8303 (562) 868-7955

2447 Kishore Shah, D.D.S. 13279 Van Nuys Blvd. PACOIMA 91331-3003 (818) 899-2505

15341 A New Smile Dental Group 13564 Van Nuys Boulevard PACOIMA 91331-3054 (818) 897-5771

7935 Wael H. Obeid, D.D.S. 13711 Van Nuys Blvd, Ste 3 PACOIMA 91331-3649 (818) 890-2600

6826 Paradise Dental Group 10059 Laurel Canyon Boulevard, Suite A PACOIMA 91331-3858 (818) 896-0043

5061 Pacoima Family Dental Center 9722 Laurel Canyon Blvd. PACOIMA 91331-4106 (818) 897-1234

7580 Easy Care Dental 13003 Van Nuys Boulevard, Suite H PACOIMA 91331-8321 (818) 834-0011

3614 Hi Desert Dental Center 2205 E. Palmdale Blvd. PALMDALE 93550-1316 (661) 273-1333

10569 Premier Dental Care 3005 E. Palmdale Boulevard, Suite 22 PALMDALE 93550-1832 (661) 273-5221

4802 Jeffery A Sulitzer D.M.D. Inc 1037 E. Palmdale Boulevard, Suite 203 PALMDALE 93550-4745 (661) 272-9181

6789 Oasis Dental Care 40008 10th Street W., Suite F-106 PALMDALE 93551-3009 (661) 947-2727

5039 Sierra Commons Dental Group-PDS 755 West Rancho Vista Boulevard PALMDALE 93551-3735 (661) 265-7800

9225 Western Dental Services, Inc 510 W. Avenue P PALMDALE 93551-3737 (661) 273-9000

4632 Coast Dental of California 38745 N Tierra Subida Ave, Ste 150 PALMDALE 93551-4567 (661) 272-9091

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 7: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY6117 Gateway Dental Group-PDS 38209 47th Street East, Ste E PALMDALE 93552-3113 (661) 236-0046

4849 Shimon Rabbani D.M.D. 14554 Nordhoff Street PANORAMA CITY 91402-1811 (818) 891-2345

13518 Monica Abusleme, D.D.S. 14621 Nordhoff St., Ste. 1-A PANORAMA CITY 91402-1833 (818) 891-1761

4999 Dental Wonderland 8761 Van Nuys Blvd. PANORAMA CITY 91402-2401 (818) 891-1600

6929 Dental Center of San Miguel 8781 Van Nuys Boulevard, 2nd Floor PANORAMA CITY 91402-2401 (818) 892-2649

2456 Family Credit Dentistry 8628 Van Nuys Boulevard, Suite 200 PANORAMA CITY 91402-2913 (818) 895-1321

3933 9-7 Dental Family Center 8424 Van Nuys Blvd PANORAMA CITY 91402-3610 (818) 893-4222

5786 Brennan Hughes, D.M.D. 14526 Roscoe Boulevard PANORAMA CITY 91402-4176 (818) 893-7858

4775 Van Nuys Panorama Dental Center 8227 Van Nuys Blvd PANORAMA CITY 91402-4804 (818) 989-3074

6479 Koo D.D.S. Inc 8215 Van Nuys Blvd #220 PANORAMA CITY 91402-4836 (818) 782-8261

2461 Paramount Family Dental 8131 E. Rosecrans Avenue, Suite 101 PARAMOUNT 90723-2758 (562) 634-2984

3894 West Coast Dental Group of Paramount 14525 Lakewood Blvd, Ste A PARAMOUNT 90723-3638 (562) 272-0000

10001 Paramount Dental Care 8524 1/2 Rosecrans Avenue PARAMOUNT 90723-3644 (562) 633-3082

9238 Western Dental Services, Inc 470 N. Los Robles Ave. PASADENA 91101-1302 (626) 578-1200

6362 Gentle Care Health Spa 247 N Lake Ave PASADENA 91101-1828 (626) 405-2922

15276 Dr. Lena's Family Dentistry 65 N Madison Avenue, Suite 701 PASADENA 91101-2046 (626) 795-2900

9866 Dental Plus Dental Group 310 South Lake Avenue, Lower Level PASADENA 91101-3537 (626) 795-6855

8474 Fair Oaks Family Dental 929 North Orange Grove Boulevard #B PASADENA 91103-3354 (626) 449-3700

13528 Ibrahim Rabadi, D.D.S. 2281 E. Washington Blvd. PASADENA 91104-1944 (626) 794-2606

13508 Alen Bakhtamian, D.M.D. 301 S. Fair Oaks, Suite 206 PASADENA 91105-2562 (626) 431-2654

9879 Pasadena Family Cosmetic & Implant Dentistry 800 S. Fairmount Avenue, Suite 100 PASADENA 91105-3158 (626) 304-3004

7900 Caring Dental 777 S. Arroyo Pkwy, Ste 104 PASADENA 91105-3908 (626) 795-1985

4565 Pasadena Dental Care 1092 E. Green Street PASADENA 91106-2506 (626) 795-9328

4284 Washington Dental Group 2554 East Washington Boulevard PASADENA 91107-1445 (626) 296-0056

5016 Hastings Ranch Dental Group-PDS 255 N. Rosemead Blvd. PASADENA 91107-3102 (626) 351-0195

2471 A.D. Rangnath, D.D.S. 4400 Rosemead Blvd., Suite 2 PICO RIVERA 90660-1780 (562) 695-5251

13347 West Coast Dental Group of Pico Rivera 9050 Whittier Road PICO RIVERA 90660-2410 (562) 456-1111

7461 Michelle Kim, DDS 8819 Whittier Boulevard, Suite 102 PICO RIVERA 90660-2673 (562) 699-1000

5528 Ashok Mehta, DDS 9514 Whittier Blvd. PICO RIVERA 90660-2835 (562) 942-2345

2474 Muditajaya Dental Corporation 9123 Slauson Avenue PICO RIVERA 90660-4522 (562) 949-0177

6768 Pico Rivera Family Dentistry 9401 Slauson Avenue PICO RIVERA 90660-4747 (562) 949-9500

4842 Del Dental Group 8035 W Manchester Ave Suite B PLAYA DEL REY 90293-7985 (310) 822-8118

7657 Saucedo Dental Corporation 180 E Mission Boulevard, Suite A POMONA 91766-1843 (909) 623-5278

7340 St. Moises Dental 12 Rancho Camino Drive, Suite 102 POMONA 91766-7008 (909) 865-8500

5094 Kent Hung, DMD 520 East Foothill Blvd. Suite B POMONA 91767-1200 (909) 624-1781

5036 Grove Family Dental Office 3167 N Garey Ave POMONA 91767-1366 (909) 596-7700

4920 Gentle Dental Pomona 175 W La Verne Ave, Ste A POMONA 91767-2347 (909) 593-5515

4808 Bella C Manchandia D.D.S. 551 E Holt Blvd POMONA 91767-5623 (909) 622-8600

4933 Pearl Dental Care 2407 Valley Blvd Suite C POMONA 91768-2719 (909) 839-1004

13524 Sahara Dental 2005 W. Holt Ave POMONA 91768-3308 (909) 623-9590

9063 Reseda Dental Group 18437 Saticoy Street, Suite # 1 RESEDA 91335-2911 (818) 344-8338

6653 Adult and Kid's Dental Care 6915 Reseda Blvd, Ste #6 RESEDA 91335-4248 (818) 881-6761

2490 Citi Dental Group 6900 Reseda Boulevard, Suite C RESEDA 91335-4266 (818) 705-0200

4785 Magic Dental Office 18308 Sherman Way Suite 1 RESEDA 91335-4475 (818) 881-0404

6119 Henide Arias, DDS, Inc. 19231 Victory Blvd, Ste 252 RESEDA 91335-6341 (818) 881-8940

2483 Harvey E. Dlugatch, D.D.S. 18909 Sherman Way RESEDA 91335-7700 (818) 345-1343

5717 Reseda Village Dental Care 18700 Sherman Way, Suite 116 RESEDA 91335-9101 (818) 757-7070

5031 M. Duane Hedrick, D.D.S. 927 Deep Valley Dr Suite 205 ROLLING HILLS 90274-3861 (310) 544-4054

4876 Peninsula Dental Arts 550 Deep Valley Drive, Ste 347 ROLLING HILLS ESTATES 90274-7603 (310) 377-9575

2494 Glenrose Dental Center 8951 Glendon Way ROSEMEAD 91770-1892 (626) 288-7667

5457 Dr. Sethi's Family Dental Center 2111 N. San Gabriel Blvd., Suite I ROSEMEAD 91770-3600 (626) 280-4976

4633 Coast Dental - Rosemead 4100 Rosemead Blvd ROSEMEAD 91770-4404 (626) 575-1161

4514 San Dimas Dental Office-PDS 923 W Arrow Hwy SAN DIMAS 91773-2420 (909) 592-5599

15164 Plaza Dental Ofice 1120 Via Verde SAN DIMAS 91773-4401 (909) 599-2444

6190 California Dental 2040 Glenoaks Blvd Suite F SAN FERNANDO 91340-1662 (818) 361-3889

4653 Heavenly Dental 321 N. Maclay Avenue Suite A SAN FERNANDO 91340-2945 (818) 837-9744

7886 San Fernando Dental Care 1240 Truman Street #200, 2nd Floor San Fernando Station SAN FERNANDO 91340-3203 (818) 365-7107

9057 Western Dental Services, Inc. 1101 East Truman Street, Ste A-D SAN FERNANDO 91340-3254 (818) 898-1433

2502 San Fernando Dental Center 125 S. Brand Blvd. SAN FERNANDO 91340-3304 (818) 365-6321

2506 San Gabriel Valley Dental Center 6503 N. Rosemead Blvd. SAN GABRIEL 91775-1936 (626) 286-2156

8806 San Gabriel Family Dentistry 531 West Las Tunas Drive, Suite B SAN GABRIEL 91776-1166 (626) 281-1628

8494 Jing Xu DDS Family Dentistry 416 West Las Tunas Drive, Suite 107 SAN GABRIEL 91776-1236 (626) 282-2068

4456 Las Tunas Family Dental Group 1107 E. Las Tunas Dr. SAN GABRIEL 91776-1701 (626) 285-0031

2511 Del Mar Dental Office 702 S. Del Mar Avenue, Suite A SAN GABRIEL 91776-2440 (626) 287-9781

15287 California Dentistry 1448 S San Gabriel Boulevard SAN GABRIEL 91776-3656 (626) 288-2000

7334 Hai-Sou Chen, DDS 301 W. Valley Boulevard, Suite 222 SAN GABRIEL 91776-3759 (626) 573-5637

10000 San Pedro Family Dentist 204 N. Pacific Avenue SAN PEDRO 90731-2016 (310) 832-8800

2518 Hamid Cohen Kheradyar, D.D.S. 138 S. Gaffey Street SAN PEDRO 90731-2430 (310) 514-9100

9724 San Pedro Dental Care 520 West 7th Street SAN PEDRO 90731-3116 (310) 832-5361

4650 Canyon Country Dental Group-PDS 26877 Sierra Hwy SANTA CLARITA 91321-2274 (661) 251-2002

4733 Vista Village Dental 24355 Lyons Avenue, Suite 200 SANTA CLARITA 91321-2383 (661) 259-5001

7998 Lyons Dental Care 24036 Lyons Ave SANTA CLARITA 91321-2446 (661) 255-1015

9245 Western Dental Services, Inc. 23130 Lyons Ave SANTA CLARITA 91321-2631 (661) 260-3200

2586 Zak Dental Care 26324 Bouquet Canyon Road SANTA CLARITA 91350-2308 (661) 253-4000

13336 Comfort Dental 26781 Bouquet Canyon Road SANTA CLARITA 91350-2358 (661) 513-0655

4991 Valencia Dental Group at Copper Hill-PDS 28134 Newhall Ranch Road, Suite G7 SANTA CLARITA 91355-9998 (661) 607-0202

4673 Santa Monica Dental 1244 7th Street, Suite 101 SANTA MONICA 90401-1648 (310) 393-0743

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 8: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4819 American Family Dental 900 Wilshire Boulevard, Suite 440 SANTA MONICA 90401-1879 (310) 264-5084

2527 Super Dental Care 3200 Santa Monica Blvd., Suite 204 SANTA MONICA 90404-2639 (310) 453-8907

9098 Western Dental Services, Inc. 1670 Lincoln Boulevard SANTA MONICA 90404-3712 (310) 392-1473

5685 Bouquet Smile Dentistry 28100 Bouquet Canyon Road #200 SAUGUS 91350-2006 (661) 263-6923

2531 Golden Triangle Dental 21700 W Golden Triangle, Ste 201 SAUGUS 91350-2954 (661) 259-5540

5995 Anait Alabyan, D.D.S. 4910 Van Nuys Blvd #200 SHERMAN OAKS 91403-1727 (818) 788-2121

5141 Sherman Oaks Cosmetic & Implant Dental Group 4955 Van Nuys Blvd., Suite 520 SHERMAN OAKS 91403-1834 (818) 990-4121

6971 David Isaacs DDS, Inc 4350 Woodman Avenue SHERMAN OAKS 91423-3031 (818) 981-4508

9735 Durfee Dental Office 2001 Santa Anita Ave, Suite 204 SOUTH EL MONTE 91733-3441 (626) 443-3915

3982 Garvey Dental Center 9328 Garvey Avenue, Suite A SOUTH EL MONTE 91733-4602 (626) 350-0588

5525 Henry Shafajoo, DDS 2639 Santa Ana Street SOUTH GATE 90280-2025 (323) 583-1481

7462 Gentle Dental Group 8116 California Ave, Suite C SOUTH GATE 90280-2400 (323) 567-1821

9138 Dr. Arash Hakhamian 8420 California Avenue SOUTH GATE 90280-2414 (323) 567-2137

6026 Magdy F. Tadros, DDS 3173 Tweedy Blvd. SOUTH GATE 90280-5739 (323) 564-4554

4488 Dr. Naziri Dental Clinic 4186 Tweedy Blvd SOUTH GATE 90280-6159 (323) 569-7131

2539 West Coast Dental Group of South Gate 4149 Tweedy Blvd, Ste G SOUTH GATE 90280-6167 (323) 567-3333

4498 Adult & Children's Dental Group 4444 Tweedy Blvd SOUTH GATE 90280-6304 (323) 564-2444

8407 Omid South Gate Dental 10530 South Atlantic Avenue SOUTH GATE 90280-7024 (323) 569-5000

4973 Royal Dental Spa 11711 Moorpark Street STUDIO CITY 91604-2112 (818) 505-1211

4461 SC Dental Care 4366 Tujunga Ave STUDIO CITY 91604-2751 (818) 985-5462

3706 Laurel Chandler Dental Group 4717 Laurel Canyon Blvd., Suite 200 STUDIO CITY 91607-3990 (818) 508-2250

6525 Family Dentistry 8805 Sunland Blvd. SUN VALLEY 91352-2833 (818) 767-5243

4695 Fresh Smile Dental 8215 Sunland Blvd SUN VALLEY 91352-3362 (818) 252-7222

2551 Sunland Family Dentistry 8522 Foothill Blvd. SUNLAND 91040-1912 (818) 352-8888

2552 Sunland Dental Care 7902 Foothill Blvd SUNLAND 91040-2937 (818) 353-5520

6465 American Smile Dental Care 13203 Gladstone Ave SYLMAR 91342-3116 (818) 833-0444

8433 Sinai Dental Group 13060 Glenoaks Boulevard, Suite 105 SYLMAR 91342-3963 (818) 899-1800

13335 EZ Dental Specialty Group 12940 Foothill Boulevard, Suite #C SYLMAR 91342-4970 (818) 408-5100

6342 Saint Mina Family Dental 12601 SAN FERNANDO RD STE H SYLMAR 91342-7733 (818) 364-1991

5030 Angela Hoffman DDS, Inc 5620 Wilbur Ave, Suite 316 TARZANA 91356-1311 (818) 345-7720

8612 Dr. Shahin Shamsian 5620 Wilbur Avenue, Suite 309 TARZANA 91356-1311 (818) 881-1559

15340 Tarzana Dental Specialists 18663 Ventura Boulevard, Suite 200 TARZANA 91356-4162 (818) 881-9000

2559 Fara Salehi, D.D.S. 18740 Ventura Blvd., Suite 105 TARZANA 91356-6302 (818) 344-3357

9733 Happy Smile Dental 9600 Las Tunas Drive TEMPLE CITY 91780-2108 (626) 286-9600

6483 Armen Mikaelian, D.D.S. 10455 Lower Azusa Rd TEMPLE CITY 91780-3470 (626) 444-3744

2568 Downtown Family Dental 2055 Torrance Blvd TORRANCE 90501-2600 (310) 320-0707

3895 West Coast Dental of Torrance 1730 W Sepulveda Blvd, Ste 1 TORRANCE 90501-6901 (310) 325-8888

4634 Coast Dental of California 923 W Carson Street TORRANCE 90502-2003 (310) 533-1300

5073 Universal Care Dental 1001 West Carson Street, Suite #H TORRANCE 90502-2051 (310) 618-1522

5292 Village Family Dental Office 1235 Sepulveda Blvd. TORRANCE 90502-2626 (310) 530-9656

7330 Dental Associates of Torrance 21229 Hawthorne Boulevard, Suite A TORRANCE 90503-5501 (310) 792-5600

8940 Redondo Beach Family Dental 2130 Redondo Beach Boulevard Suite F TORRANCE 90504-1679 (310) 768-8281

6197 Robert Mondavi, DDS 17311 Yukon Ave. TORRANCE 90504-2316 (310) 324-3333

2575 Torrance Dental Associates 17305 Crenshaw Blvd, Suite B TORRANCE 90504-2641 (310) 327-4166

15144 E-Yonsei Dental Office 24205 Hawthorne Boulevard, Ste B TORRANCE 90505-5657 (310) 375-5101

13379 PCH Smiles Dentistry and Orthodontics-PDS 2740 Pacific Coast Hwy TORRANCE 90505-5700 (310) 534-3002

6654 Canyon Dental Group 28237 Newhall Ranch Road VALENCIA 91355-0986 (661) 257-4242

6586 Ibrahim Dental Corporation 25880 Tournament Road, Suite 103 VALENCIA 91355-2378 (661) 294-3700

6634 Plaza Del Rancho Dental Care 27616 Newhall Ranch Rd, Ste 5 VALENCIA 91355-4015 (661) 294-0300

4566 Wyndhamsmith and Kim 28097 Smyth Drive #A VALENCIA 91355-4023 (661) 291-1412

4542 Valencia Dental Group I-PDS 24218 Valencia Blvd VALENCIA 91355-5391 (661) 288-0288

9869 Daniel Liberman, D.D.S. 23501 Cinema Drive, Suite 112 VALENCIA 91355-5429 (661) 290-3355

5024 Raymond Lotuaco, DDS 23501 Cinema Drive, Suite 207 VALENCIA 91355-5430 (661) 753-9456

4724 Baywood Dental Group 24121 Baywood Lane Suite A VALENCIA 91355-6114 (661) 291-1200

4543 Valencia Dental Group II-PDS 26938 The Old Road, Suite P VALENCIA 91381-0662 (661) 799-0886

2588 Hamlin Dental Group 14401 Hamlin Street, Suite D VAN NUYS 91401-1410 (818) 782-6919

6202 Mehrzad Firouzbakht, DDS 14100 Victory Blvd. VAN NUYS 91401-1958 (818) 908-9199

8482 Sinai Dental Group 14523 Sherman Way Boulevard, Suite A VAN NUYS 91405-2211 (818) 787-7300

5072 Universal Care Dental 14600 Sherman Way, Suite #100 VAN NUYS 91405-2290 (818) 756-6950

4889 West Coast Dental Group of Van Nuys 13716 Sherman Way VAN NUYS 91405-2626 (818) 988-2020

7329 The Dental Care Center 7068 Sepulveda Boulevard VAN NUYS 91405-2926 (818) 781-1533

4503 Plaza Dental Clinic 7028 1/2 Van Nuys Blvd VAN NUYS 91405-3059 (818) 780-8555

9083 Affordable Dental 6600-A Van Nuys Boulevard VAN NUYS 91405-4617 (818) 782-5020

900239 Hanasab Dental 7239 Van Nuys Blvd. #A6 VAN NUYS 91405-5857 (818) 785-2424

2594 Sherman Way Dental Group 7120 HAYVENHURST AVE STE 205 VAN NUYS 91406-3813 (818) 988-1642

13599 Rimon V. Saad, DDS 16055 Sherman Way VAN NUYS 91406-4023 (818) 909-0500

4635 Coast Dental of California 15643 Sherman Way, Suite 300 VAN NUYS 91406-4177 (818) 786-2209

5866 Valley Dental Center 16440 Vanowen Street VAN NUYS 91406-4729 (818) 785-5445

8431 Sinai Dental Group 14550 Haynes Street, Suite 101 VAN NUYS 91411-4618 (818) 780-7555

2604 Tien Chun David Wang, D.M.D. 1309 N Grand Avenue WALNUT 91789-1317 (909) 594-7899

6953 Pedro P. Gonzalez, DDS Inc. 20199 Valley Boulevard, Suite F WALNUT 91789-2671 (909) 468-0091

4377 Walnut Hills Family Dentistry 18758 E. Amar Rd WALNUT 91789-4169 (626) 912-5599

13165 Diamond Dental Care 20657 Golden Springs Drive, Suite #207 WALNUT 91789-9387 (909) 595-8288

6191 Alameda Dental Group 7700 S. Alameda Street Suite A WALNUT PARK 90255-3745 (323) 585-9400

7445 American Dental Group of West Covina 436 N. Sunset Avenue WEST COVINA 91790-1652 (626) 337-7271

5810 Garvey Dental Office 1415 West Garvey Ave, Ste 101 WEST COVINA 91790-2137 (626) 851-0020

4636 Coast Dental-West covina 1215 W Covina Parkway WEST COVINA 91790-2946 (626) 962-8911

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

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LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4884 West Covina Family Dentistry 450 S Glendora Ave Ste 106 WEST COVINA 91790-3068 (626) 856-3317

5799 Queens Dental Group 910 South Sunset Avenue Suite 3 & 4 WEST COVINA 91790-3409 (626) 337-6166

2610 Family Dentistry 1312 W. Francisquito Avenue, Suite D4 WEST COVINA 91790-4658 (626) 918-0171

2605 Southern California Dental Service 1014 S. Glendora Avenue WEST COVINA 91790-4920 (626) 918-2886

3631 Rafik Yanni, D.D.S. 2413 S. Azusa Avenue WEST COVINA 91792-1536 (626) 913-1421

2615 Stephen Cheung, D.D.S. 23101 Sherman Place, Suite 417 WEST HILLS 91307-2017 (818) 348-9595

4944 Platt Village Dental Group-PDS 6446 Platt Ave WEST HILLS 91307-3216 (818) 716-7001

15150 Victoria Olshansky, DDS 1136 North Fairfax Avenue WEST HOLLYWOOD 90046-5307 (323) 650-6936

2356 Dental Center of West Los Angeles 1964 Westwood Blvd., Suite 145 WEST LOS ANGELES 90025-4683 (310) 474-5575

2379 Westchester Dental Care 8930 S. Sepulveda Blvd., Suite 117 WESTCHESTER 90045-3606 (310) 641-8890

2624 Uptown Dental Group 6711 S. Greenleaf Avenue WHITTIER 90601-4110 (562) 698-0054

5003 The Village Dental Center 6742 Greenleaf Avenue, Suite 300 WHITTIER 90601-5154 (562) 945-1684

9793 Thomas Trinh D.D.S., Inc. 9150 South Painter Avenue #105A WHITTIER 90602-1160 (562) 320-3333

5845 Maged Zaky Nessim, DDS 7743 S. Painter Ave, Ste B WHITTIER 90602-2450 (562) 698-7113

13187 Whittier Square Dentistry 13215 East Penn Street, Suite 200 WHITTIER 90602-4715 (562) 696-2862

10137 Whittier Dental 16406 E. Whittier Boulevard WHITTIER 90603-3043 (562) 694-0396

9169 Western Dental Services, Inc. 14880 East Whittier Blvd WHITTIER 90604-1111 (562) 698-6555

6380 Southern California Family Dentistry 14412 E. Whittier Boulevard WHITTIER 90605-2105 (562) 693-0788

2631 Whittier Dental Group 14564 E. Whittier Blvd. WHITTIER 90605-2129 (562) 693-8202

2632 Friendly Hills Family Dentistry 14544 E. Whittier Blvd. WHITTIER 90605-2129 (562) 698-9855

7588 Prime Care Dental 10420 East Whittier Boulevard WHITTIER 90606-1336 (562) 463-3332

2633 Krishna Reddy, D.D.S. 7910 Norwalk Blvd WHITTIER 90606-2196 (562) 699-0343

4683 Washington Dental Group 11408 E. Washington Blvd. WHITTIER 90606-3122 (562) 463-1111

10160 Lucy Cabieles, D.D.S. 1455 N. Avalon Boulevard WILMINGTON 90744-1506 (310) 835-1842

2634 Sung's Dentistry 414 W. Pacific Coast Highway WILMINGTON 90744-2524 (310) 518-3522

6228 Ace Dental 200 E. Anaheim St, Ste 254 WILMINGTON 90744-4516 (310) 830-3344

9616 Shahram S. Hosseini, D.D.S. 23111 Ventura Boulevard Suite 204 WOODLAND HILLS 91364-1103 (818) 225-1630

4809 Ebrahim Mikail D.D.S. 22636 Ventura Blvd WOODLAND HILLS 91364-1415 (818) 591-0123

4301 Nader Ahdout D.D.S. 22116 Ventura Blvd WOODLAND HILLS 91364-1648 (818) 340-3062

4160 Edward L Rosen D.D.S. 21500 Ventura Blvd., Suite 200 WOODLAND HILLS 91364-1939 (818) 999-6165

9168 Western Dental Services, Inc 1100 North Gateway Drive MADERA 93637-9600 (559) 661-5120

9045 Western Dental Services, Inc. 1124 West Olive Avenue, Suite #101 MERCED 95348-1939 (209) 383-2186

4408 Dra. Rossana Romero Aguirre Av. Madero No. 1090-6 MEXICALI (686) 552-9244

4980 Happy Dental Calz. Universidad #2073 MEXICALI (760) 890-4239

4981 Happy Dental Calle de Los Bastiones #1032 MEXICALI (686) 559-2519

4982 Happy Dental Calz Independencia #1043 MEXICALI (686) 558-2622

4510 Dra. Judith Lopez Av. Paseo Tijuana #406 M, Int No. 205 Cuarto Piso TIJUANA (664) 607-3360

4381 Prodent 8800 Via Dela Juventud #2007 TIJUANA (877) 215-1516

4053 Dental World Calle 4TA Daiz Miron, Numero 8084 TIJUANA (664) 688-2245

4055 Jose M. Gonzalez, D.D.S. Ave. H. Colon, Numero 508, Entre 1ra. y 2da. TIJUANA (664) 684-0126

4050 Carlos Ramirez, D.D.S. Blvd. Agua Caliente, Numero 2341 Altos 6 TIJUANA (664) 684-2863

4048 Clinica Dental De Tijuana Calle 5ta E. Numero 8024 Zona Centro TIJUANA (619) 734-2112

4049 Centro Dental Integral Ignacio Comonfort 9379, Suite C, Zona Rio TIJUANA (619) 270-2243

4974 Dra. Monica Anda Edmundo O'Gorman 10402-4, Zona del Rio TIJUANA (664) 634-2980

5417 Smile Art Creations 4002 Sanchez Taboado Blvd C-9 TIJUANA (619) 734-2358

6978 Clinica Medica Y Dental De Tijuana Jose Clemente Orozco #2340-304 TIJUANA (619) 308-5161

7658 Dr. Leon Dychter, DDS Salvador Novo #1060 Zona Rio TIJUANA (800) 969-1654

7659 Dr. Leon Dychter, DDS 720 Constitucion Avenida, Oficina 17 TIJUANA (619) 409-2448

9336 Western Dental Services, Inc 921 S. Main Street, Ste A SALINAS 93901-2435 (831) 783-3160

7682 Accu-Dental-Salinas 668 East Romie Lane SALINAS 93901-4206 (831) 772-0559

9335 Western Dental Services, Inc 1229 N. Main Street SALINAS 93906-2826 (831) 442-8000

9072 Western Dental Services, Inc. 1260 Trancas Street NAPA 94558-2910 (707) 501-5101

8506 California Dental Group of Aliso Viejo 26888 South La Paz Road, Suite B ALISO VIEJO 92656-3037 (949) 362-5600

6755 Aliso Viejo Family Dental Group 27066 South La Paz Road ALISO VIEJO 92656-3041 (949) 360-9700

7751 Excel Dental 1602 North Lemon Street ANAHEIM 92801-1205 (714) 525-5558

6776 Dental Aesthetics Professionals 1751 W. Romneya Drive, Suite D ANAHEIM 92801-1815 (714) 772-3538

2645 Anaheim 1st Family Dental 1161 N. Euclid Street ANAHEIM 92801-1938 (714) 999-5050

4106 California Dental Group of North Anaheim 1221 N. Euclid Street ANAHEIM 92801-1954 (714) 491-2732

13338 Yourocdentist.com 1116 North Euclid Street ANAHEIM 92801-1955 (714) 635-0855

4620 Coast Dental of California 1112 N. Magnolia Avenue ANAHEIM 92801-2603 (714) 828-1211

5080 Universal Care Dental 710 S. Brookhurst Ave, Ste O ANAHEIM 92801-3833 (714) 780-5665

4052 Dental Care of Anaheim 815 N. Euclid Street ANAHEIM 92801-4128 (714) 758-0791

2644 Anaheim- Open 7 Days-Dental Office 637 N. Euclid Street ANAHEIM 92801-4621 (714) 772-2893

13062 Crescent Family Dental 522 North Magnolia Avenue ANAHEIM 92801-4937 (714) 828-1415

4925 Gentle Dental Anaheim 2170 W Lincoln Ave ANAHEIM 92801-5601 (714) 535-3933

8576 Beach Dental Care 2940 West Lincoln Avenue, Suite L ANAHEIM 92801-6200 (714) 995-4000

4661 7 Day Dental office of Dr. Le 2265 W. Lincoln Ave ANAHEIM 92801-6503 (714) 491-8600

4515 Coastal Dental Care 922 S Euclid St ANAHEIM 92802-1523 (714) 776-7015

13009 Western Dental Services, Inc. 1696 West Katella Avenue ANAHEIM 92802-3015 (714) 635-3460

9002 Go Family Dental 2060 South Euclid Street, Suite G ANAHEIM 92802-3130 (714) 638-0018

MONTEREY COUNTY

NAPA COUNTY

ORANGE COUNTY

MADERA COUNTY

MERCED COUNTY

MEXICO

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 10: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY6860 California Dental Group of South Anaheim 2300 S. Harbor Boulevard ANAHEIM 92802-3518 (714) 750-3030

6107 Maysoon Saeed, DDS 710 South Brookhurst Street, Ste K ANAHEIM 92804-4321 (714) 758-0778

6823 First Dental Care 2801 W. Ball Road, Suite 10 ANAHEIM 92804-4900 (714) 527-5656

9874 Anaheim Jangsook Kim D.D.S. 937 North Lemon Street ANAHEIM 92805-1825 (714) 776-1202

3979 State College Dental Group 330 N. State College Blvd., Suite 105 ANAHEIM 92806-2943 (714) 772-5005

13324 Radiance Dental 5675 East La Palma Avenue, Suite #197 ANAHEIM 92807-2107 (714) 695-0593

5832 Dental Health Anaheim Hills 8295 E. Monte Vista Rd, Ste B ANAHEIM 92808-1281 (714) 685-9197

4367 Anaheim Hills Dental Group-PDS 5731 E. Santa Ana Canyon Rd, Ste A ANAHEIM HILLS 92807-3234 (714) 998-2956

8781 California Dental Group of Anaheim Hills 140 S Fairmont Blvd ANAHEIM HILLS 92808-1336 (714) 974-0054

7832 Cosmetic and Dental Implant Center 782 N. Brea Blvd BREA 92821-3334 (714) 257-0330

13193 Catherine Nguyen, DDS 552 East Lambert Road BREA 92821-4116 (714) 990-3344

4465 Brea Dental Group 503 E Imperial Hwy BREA 92821-5544 (714) 672-9000

9714 Brea Family Dentistry 936 East Imperial Highway BREA 92821-5612 (714) 990-4911

9208 Brea Dentists and Orthodontists (PDS) 2500 East Imperial Hwy, Ste 120 BREA 92821-6116 (714) 990-2299

8318 All Smiles Dental 7938 Valley View Street BUENA PARK 90620-2354 (714) 670-7657

6805 St. Therese Family Dentistry 6891 La Palma Avenue BUENA PARK 90620-2429 (714) 994-6911

4935 West Coast Dental Group of Buena Park 8381 La Palma Avenue, Suite B & C BUENA PARK 90620-3271 (714) 228-9990

9113 Western Dental Services, Inc. 5971 Lincoln Avenue BUENA PARK 90620-3580 (714) 995-3976

9500 Foroutan Dental Corporation 8951 Knott Avenue Suite L BUENA PARK 90620-4108 (714) 826-4181

5435 Valley View Dental 10102 Valley View Street BUENA PARK 90620-4344 (714) 229-4898

6841 Santa Maria Dentistry 6039 Beach Boulevard BUENA PARK 90621-2304 (714) 994-1456

6103 Buena Park Dental Center 8402 Commonwealth Avenue BUENA PARK 90621-2528 (714) 739-2051

7720 Prime Dental Care 7540 Orangethorpe Avenue, Ste C4 BUENA PARK 90621-3458 (714) 522-4445

4811 Pacific Harbor Dental Group and Orthodontics-PDS 3030 Harbor Blvd., Suite G1 COSTA MESA 92626-2562 (714) 546-6100

13326 Smile Max Dental Center 2969 Harbor Boulevard COSTA MESA 92626-3912 (714) 437-1100

4910 Gentle Dental Costa Mesa 2000 N Harbor Blvd, Ste B-100 COSTA MESA 92627-2601 (949) 645-5070

9237 Western Dental Services, Inc 534 W. 19th Street COSTA MESA 92627-2748 (949) 645-1408

7446 Skyview Dentistry 570 West 19th Street COSTA MESA 92627-2749 (949) 642-4222

5448 Mesa Dental Center 267 E 17th St COSTA MESA 92627-3831 (949) 646-2411

6880 Bay Mesa Dental 2023 Harbor Boulevard, Suite D COSTA MESA 92627-5552 (949) 646-9000

9277 Anthony H. Cao, DDS 2200 Harbor Blvd, Ste B230 COSTA MESA 92627-5874 (949) 646-1650

6459 Cypress Dental Group 9922 Walker St, Ste C CYPRESS 90630-3097 (714) 220-0354

6312 Cypress Plaza Dental Group 5460 Orange Avenue CYPRESS 90630-3740 (714) 226-9630

13665 Katella Dental Center 6897 Katella Avenue CYPRESS 90630-5107 (714) 952-3044

4395 California Dental Group of Cypress 11741 Valley View St #E CYPRESS 90630-5500 (714) 826-3000

5013 Towne Centre Dental Group-PDS 45 Auto Center Drive Suite 110 FOOTHILL RANCH 92610-2848 (949) 588-5906

2714 Aria Irvani DDS Inc. 26700 Towne Centre Drive, Suite 210 FOOTHILL RANCH 92610-2854 (949) 458-5858

10142 A. Alex Rajabi, D.D.S., Inc. 26730 Towne Centre, Suite 101 FOOTHILL RANCH 92610-2857 (949) 916-4500

4485 Dental Arts 11703 Edinger Ave FOUNTAIN VALLEY 92708-1208 (714) 775-1934

2675 Family Dental 2442 E Chapman Ave FULLERTON 92831-3604 (714) 525-4538

2647 Nandini R. Murthy, D.D.S. 607 E Chapman Avenue FULLERTON 92831-3803 (714) 774-2638

8749 Fullerton Dental Care 170 N Raymond Ave FULLERTON 92831-4610 (714) 870-2000

5850 U.S. Dental Group 1019 N. Harbor FULLERTON 92832-1310 (714) 992-0300

4799 Amit Shah D.D.S., Inc 137 W. Chapman Avenue, Suite A FULLERTON 92832-1473 (714) 738-6001

4292 Sunshine Dental 506 W. Commonwealth Avenue FULLERTON 92832-1723 (714) 738-7777

13671 Fullerton Dental Center 446 E. Commonwealth Ave. FULLERTON 92832-2019 (714) 680-6767

10322 Fullerton Dental Group 1573 South Harbor Boulevard FULLERTON 92832-3402 (714) 441-0131

7719 Kenny Jang, DDS, Inc 1657 West Orangethorpe Avenue FULLERTON 92833-4535 (714) 626-0288

9618 Fullerton Dental Associates 2949 Brea Boulevard FULLERTON 92835-2073 (714) 671-0300

3903 Vivid Dental Studio 301 W. Bastanchury Road, Suite 5 FULLERTON 92835-3422 (714) 871-4892

8941 Michael C. Oh DMD 1321 North Harbor Boulevard Suite 201 FULLERTON 92835-4130 (714) 526-5577

5014 Brentwood Dental 12400 Euclid St GARDEN GROVE 92840-3310 (714) 537-1600

3948 Leonardo Medina, D.D.S. 13034 Chapman Avenue GARDEN GROVE 92840-4349 (714) 750-7333

13587 Garden Grove Dental Care 12630 Brookhurst Street, Suite B GARDEN GROVE 92840-4886 (714) 530-4920

5079 Universal Care Dental 12828 Harbor Blvd Ste 340 GARDEN GROVE 92840-5833 (714) 530-9801

6842 Century Dental Care 13011 Century Boulevard GARDEN GROVE 92843-1209 (714) 534-7020

4519 Coastal Dental Care 10044 Westminster Ave GARDEN GROVE 92843-4721 (714) 539-7070

10157 Union Dental Group 8754 Garden Grove Boulevard GARDEN GROVE 92844-1251 (714) 539-1200

7890 First Dental 8585 Westminster Ave GARDEN GROVE 92844-2501 (714) 799-1599

9147 Dentistry Today 19059 Bushard Street HUNTINGTON BEACH 92646-2431 (714) 964-2040

6299 Cosmetic and Dental Implant Center 19080 Brookhurst Street HUNTINGTON BEACH 92646-2552 (714) 968-2527

4302 Yorktown Dental Practice Of Trinh D.D.S. 9931 YORKTOWN AVE HUNTINGTON BEACH 92646-2842 (714) 963-9800

7655 Beach Dental Group-PDS 9842 Adams Avenue, Suite 106 HUNTINGTON BEACH 92646-4800 (714) 968-4907

7906 Family Dental Care 9952 Hamilton Ave HUNTINGTON BEACH 92646-8016 (714) 593-0256

10479 Bella Terra Dentistry 16261 Beach Boulevard HUNTINGTON BEACH 92647-4102 (714) 847-2220

5599 Nora Caballero, D.D.S. 16511 Goldenwest Street, Suite 101 HUNTINGTON BEACH 92647-4484 (714) 848-9200

9186 Crystal Dental 7812 Warner Avenue HUNTINGTON BEACH 92647-4700 (714) 841-4700

4962 Beachside Dental Group 18800 Main Street, Suite 110 HUNTINGTON BEACH 92648-1717 (714) 842-6151

5045 Pacifica Dental 18821 Delaware Street, Suite 101 HUNTINGTON BEACH 92648-1935 (714) 848-8211

6352 Big Dental Group 18682 Beach Blvd., Suite 100 HUNTINGTON BEACH 92648-2049 (714) 968-3522

4349 Beach Dental Group and Orthodontics -PDS 19720 Beach Blvd #A HUNTINGTON BEACH 92648-2987 (714) 593-1010

5429 Huntington Beach Dentistry 19754 Beach Blvd. HUNTINGTON BEACH 92648-2989 (714) 964-8830

4824 Dental Associates of Huntington Beach 5942 Edinger Avenue, Suite 101 HUNTINGTON BEACH 92649-1774 (714) 377-4449

4330 Walnut Dental Group-PDS 14427 Culver Drive IRVINE 92604-0305 (949) 733-0486

6047 OC Dental Group 14130 Culver Dr Suite C IRVINE 92604-0321 (949) 653-8888

13319 Alton Implant Center & Dentistry 5405 Alton Pkwy, Suite # F IRVINE 92604-3719 (949) 262-0300

4660 Dental Care Of Irvine 4330 Barranca Pkwy., #230 IRVINE 92604-4756 (949) 786-1234

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 11: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY8040 University Park Dental 5321 University Drive, Suite A IRVINE 92612-2942 (949) 653-2244

13280 Dental Implant and Cosmetic Center 17897 MacArthur Boulevard, Suite 100 IRVINE 92614-0533 (949) 752-7900

10402 The Dental Office On Red Hill - PDS 17010 Red Hill Avenue IRVINE 92614-5626 (949) 975-0150

6857 Basem Airood, DDS 17931 MacArthur Boulevard IRVINE 92614-6505 (949) 862-0028

6301 Michael Alijani, DDS 17655 Harvard Place, Ste F IRVINE 92614-8548 (949) 833-8884

8870 Irvine Sedation & Implant Dentistry 113 Water Works Way, Suite 220 IRVINE 92617-3176 (949) 727-0777

6569 La Habra Modern Dentistry - PDS 1701 West Imperial Hwy, Ste B LA HABRA 90631-0604 (562) 690-5729

4518 Coastal Dental Care 1216 S Idaho St Suite C LA HABRA 90631-0609 (714) 447-8200

7771 Kyung Sook Yu, DDS, Inc 1370 South Beach Boulevard, Suite E LA HABRA 90631-1178 (562) 694-5850

8022 La Habra Smile Dental 1250 West Whittier Boulevard LA HABRA 90631-3611 (562) 266-9277

8503 Valentina Redden DDS Inc. 111 North Euclid Street LA HABRA 90631-4614 (562) 697-1229

5221 Gentle Dental La Habra 331 N Harbor Blvd LA HABRA 90631-4846 (562) 694-3511

7887 Dental One 1875 W. La Habra Blvd LA HABRA 90631-5131 (562) 266-0033

5693 Akshar Dental 1281 E. La Habra Blvd., Suite 4 LA HABRA 90631-5661 (562) 697-3788

4874 Harbor Dental Care 1150 East Imperial Hwy LA HABRA 90631-7454 (714) 992-2200

13006 La Palma Dental Care 7881 Valley View St. LA PALMA 90623-1849 (714) 739-2727

8721 7 Day Dental of Dr. Chung 27702 Crown Valley Parkway, Suite A2 LADERA RANCH 92694-0609 (949) 365-1900

4357 Laguna Beach Dental-PDS 31796 So. Coast Hway LAGUNA BEACH 92651-6974 (949) 415-1020

13288 SC Dental Care 22972 Moulton Parkway #106 LAGUNA HILLS 92653-1219 (949) 770-3010

6125 Brilliant Smile Dental Group 23024 Lake Forest Drive Suite A LAGUNA HILLS 92653-1328 (949) 716-7166

10226 Tadros Dentistry 23030 Lake Forest Drive, Suite 201 LAGUNA HILLS 92653-1331 (949) 916-0568

6848 Flora Stenger, DDS 24022 Calle De La Plata, Suite 450 LAGUNA HILLS 92653-3631 (949) 830-0074

6600 Royal Dental 25401 Alicia Parkway, Suite J LAGUNA HILLS 92653-4958 (949) 587-3010

8986 Laguna Spa Dentistry 25596 Alicia Parkway LAGUNA HILLS 92653-5309 (949) 951-7645

13060 Rancho Niguel Dental Group 30140 Town Center Drive LAGUNA NIGUEL 92677-2037 (949) 249-4180

5436 Choice Dental Care 30262 Crown Valley Parkway, Suite E LAGUNA NIGUEL 92677-2364 (949) 363-0018

10141 Heather Ridge Dentistry 27150 Alicia Parkway, Suite J LAGUNA NIGUEL 92677-3415 (949) 362-4900

4376 Laguna Niguel Dental Group and Orthodontics-PDS 27901 La Paz Road, Suite D LAGUNA NIGUEL 92677-3932 (949) 389-9195

9573 Sea Country Dental 32341 Golden Lantern, Suite C LAGUNA NIGUEL 92677-5343 (949) 496-7910

4937 Leisure Dental 24102 El Toro Rd Suite A LAGUNA WOODS 92637-3123 (949) 830-6510

6904 Kathy Massoumi, DDS, Inc. 22706 Aspan Street, Suite 602 LAKE FOREST 92630-1603 (949) 716-7000

4621 Coast Dental of California 23082 Ridge Route Drive, Suite A LAKE FOREST 92630-3691 (949) 837-2766

13598 Marina Dental 23591 El Toro Rd., #130 LAKE FOREST 92630-4704 (949) 206-9508

6105 Heritage Dental Group 22373 El Toro Rd LAKE FOREST 92630-5053 (949) 951-5503

7985 Brightcare Dental 23731 El Toro Rd Suite D LAKE FOREST 92630-8615 (949) 581-8108

13287 Los Alamitos Dental Arts 3724 Katella Avenue LOS ALAMITOS 90720-3102 (562) 936-0071

2721 Ashok Mehta, D.D.S., Inc. 10900 Los Alamitos Blvd., Suite 133 LOS ALAMITOS 90720-5612 (562) 596-8888

4752 Gateway Dental 24000 Alica Pkwy Suite 34 MISSION VIEJO 92691-3929 (949) 707-7000

9863 James Vartanian, D.D.S. 26302 La Paz Road, Suite 203 MISSION VIEJO 92691-5328 (949) 586-5669

2690 Marguerite Dental 27871 Medical Center Rd, Ste 165 MISSION VIEJO 92691-6425 (949) 364-2529

5222 Gentle Dental Mission Viejo 25523 Marguerite Parkway, Suite C MISSION VIEJO 92692-2925 (949) 768-1800

4926 Mission Dental Group and Orthodontics 26032 Marguerite Parkway, Suite A1 MISSION VIEJO 92692-5282 (949) 582-8400

10489 Newport Dental Center Group 2105 San Joaquin Hills Road NEWPORT BEACH 92660-6507 (949) 721-1730

5988 Richard E. Sprague, DDS & Associates 122 Agate Avenue NEWPORT BEACH 92662-1070 (949) 675-3636

6859 Pearl Dental 1714 N. Tustin Street ORANGE 92865-4603 (714) 998-5502

15352 Tustin Plaza Dental Group 1872 N.Tustin Avenue ORANGE 92865-4605 (714) 637-8662

7408 Shiny Dental Practice 1916 North Tustin Ave. ORANGE 92865-4644 (714) 282-9966

4221 St. Catherine Dental Center 235 East Katella Avenue ORANGE 92867-4853 (714) 633-3336

13490 Comfort Smile Family Dentistry 1920 E. Katella # J ORANGE 92867-5146 (714) 997-4133

4222 California Dental Group of Orange 1502 E. Collins Avenue ORANGE 92867-5934 (714) 288-8464

6033 Brite Dental Care 765 N. Tustin Street ORANGE 92867-7128 (714) 771-7474

4509 West Coast Dental Group of Orange 179 N Tustin Ave ORANGE 92867-7716 (714) 288-1035

2001 Preferred Dental Care 2022 W Chapman Avenue ORANGE 92868-2610 (714) 978-3333

4720 Orange Art of Dentistry 146 S. Main Street, Ste M ORANGE 92868-2861 (714) 938-0568

5154 Gentle Dental Orange 424 S Main St Ste H,I,J ORANGE 92868-3828 (714) 639-1922

8426 Town And Country Dental Center 1111 West Town and Country Road, Suite 33 ORANGE 92868-4667 (714) 285-0505

8106 Orange Park Smile Studio 8418 East Chapman Avenue ORANGE 92869-2459 (714) 984-2050

2731 Orange Hill Dental Group 3138 E.Chapman Avenue, Suite A ORANGE 92869-3722 (714) 639-2703

7443 Cosmetic and Dental Implant Center 1858 N Placentia Avenue PLACENTIA 92870-2303 (714) 577-9070

7947 Naomi J. Wong, DDS 415 W. Chapman Ave PLACENTIA 92870-5905 (714) 223-2021

4354 Rancho Dental Group-PDS 22032 El Paseo Rd Ste #110 RANCHO SANTA MARGARITA 92688-3950 (949) 766-4546

6806 Santa Margarita Dental Group 22195 El Paseo, Suie 260 RANCHO SANTA MARGARITA 92688-3951 (949) 459-9300

4787 So Cal Smiles Dentistry 22195 El Paseo Suite 220 RANCHO SANTA MARGARITA 92688-3952 (949) 766-0006

4356 Rancho Dental Group-PDS 30592 Santa Margarita Parkway, Suite D RANCHO SANTA MARGARITA 92688-5802 (949) 766-5740

4525 Appealing Dentistry of Rancho Santa Margarita 29839 Rancho Santa Margarita Pkwy Ste 100 RANCHO SANTA MARGARITA 92688-9998 (949) 766-7687

4561 Artistic Dentistry 439 N El Camino Real #E SAN CLEMENTE 92672-4700 (949) 366-1177

4350 San Clemente Dental Group-PDS 943 Avenida Pico, Suite A SAN CLEMENTE 92673-3914 (949) 366-9555

7766 Southern California Family Dentistry 638 Camino de los Mares Suite C-140 SAN CLEMENTE 92673-4813 (949) 234-0500

9191 San Juan Dental Specialist 31897 Del Obispo Street, Suite 100 SAN JUAN CAPISTRANO 92675-3207 (949) 487-0284

6281 Capistrano Dental Group 31878 Del Obispo st #105 SAN JUAN CAPISTRANO 92675-3223 (949) 487-3273

9144 Colette S. Catalino DMD, Inc. 31882 Camino Capistrano, Suite # 260 SAN JUAN CAPISTRANO 92675-3241 (949) 493-7007

7767 Michael C. Mai, DDS Inc 32183 Camino Capistrano SAN JUAN CAPISTRANO 92675-3716 (949) 489-1013

6492 Iraj Ebrami, DDS Inc 1125 East 17th Street, Ste #E227 SANTA ANA 92701-2218 (714) 543-7770

6820 Crystal Dental 1125 East 17th Street, Ste. W127 SANTA ANA 92701-2228 (714) 541-9203

13022 Aqua Dental 1319 North Main Street SANTA ANA 92701-2318 (714) 972-2782

5078 Universal Care Dental 1400 N Main St, Ste A SANTA ANA 92701-2321 (714) 541-7928

4213 Dental 4 102 E. 4th Street, 2nd Floor SANTA ANA 92701-4602 (714) 558-1464

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 12: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY9267 Western Dental Services, Inc 500 N. Main Street SANTA ANA 92701-4620 (714) 973-9005

6777 Sweet Tooth Dental Group 301 1/2 North Main SANTA ANA 92701-4852 (714) 547-6600

9053 Western Dental Services, Inc. 2701 West 1st Street SANTA ANA 92703-3443 (714) 973-2022

7510 Carlos King Dental Office 1734 West 1st Street, Suite H SANTA ANA 92703-3667 (714) 542-9785

6198 Bristol Dental Care 410 N. Bristol St. #C SANTA ANA 92703-3814 (714) 953-2198

7945 Andrew C. Shieh, DDS 1028 W. First Steet, Ste E SANTA ANA 92703-5213 (714) 542-5421

7327 Yen Bich Phan, DDS 120 S. harbor Boulevard, Suite A SANTA ANA 92704-1382 (714) 531-3405

3956 Philip Koh, D.D.S. 2509 W. McFadden, Suite E SANTA ANA 92704-2747 (714) 835-8797

7979 South Coast Family Dental 2781 W. McArthur Blvd, Ste N SANTA ANA 92704-7095 (714) 556-7277

2755 Bay Dental 3620 S. Bristol Street, Suite 307 SANTA ANA 92704-7316 (714) 540-2836

4623 Coast Dental of California 3500 S Bristol St, Ste 100 SANTA ANA 92704-7319 (714) 957-6030

4688 Care Dental 2321 East 4th St Suite E SANTA ANA 92705-3862 (714) 210-2988

7986 Barba Dental Corporation 2010 E. First Street, Ste 250 SANTA ANA 92705-4083 (714) 558-6949

6056 Orange Coast Dental 1717 Old Tustin Ave SANTA ANA 92705-7815 (714) 835-9188

4484 United Dental Care 1710 East 17th Street Suite E SANTA ANA 92705-8622 (714) 564-9000

2758 Nandini R. Murthy, D.D.S., Inc. 2723 N. Bristol Street, Suite D-7 SANTA ANA 92706-1419 (714) 569-0021

8475 My Dentist 2001 West 17th Street SANTA ANA 92706-2322 (714) 547-4444

6300 Family Dental 516 A West 17th Street SANTA ANA 92706-3677 (714) 972-2506

7399 Friendly Smile Dental 1521 North Broadway Street SANTA ANA 92706-3906 (714) 972-2801

4273 Anh Vu D.D.S. 1311 N Broadway Suite B SANTA ANA 92706-3929 (714) 541-2723

8440 Thanh Q. Nguyen, DDS 319 East 17th Street SANTA ANA 92706-4108 (714) 569-1100

9654 California Kids Dental Group 1109 West 17th Street SANTA ANA 92706-6350 (714) 835-2383

5766 John Shui, D.D.S. 1702 South Main Street SANTA ANA 92707-1836 (714) 796-9253

10326 Rossmor Dental Group-PDS 12419 Seal Beach Blvd SEAL BEACH 90740-2710 (562) 431-0393

4532 Maged Z. Nessim, D.D.S. 1058 BOLSA AVE SEAL BEACH 90740-6211 (562) 594-4885

9905 Jeffrey Chu, D.D.S., Inc. 7025 Katella Avenue STANTON 90680-2804 (714) 229-1234

6068 Smile Academy 12793 Beach Blvd STANTON 90680-4003 (714) 903-9963

4659 Amit Shah D.D.S. 17602 Seventeenth St., #105 TUSTIN 92780-1961 (714) 544-7511

4466 Tustin Dental Care 12575 Newport Ave Suite B TUSTIN 92780-2452 (714) 731-6100

9046 AA Family Dental Group 18102 Irvine Boulevard, Suite #205 TUSTIN 92780-3424 (714) 731-5656

9517 Dentistry Blossom 18102 Irvine Boulevard, Suite 200 TUSTIN 92780-3424 (714) 832-7220

4881 Southland Dental Arts 740 El Camino Real, Suite #200 TUSTIN 92780-4369 (714) 838-3230

4250 Tustin Dental Office-PDS 13721 Newport Avenue, Suite 1 TUSTIN 92780-4601 (714) 368-1400

6652 Zareh & Zareh Dental Inc 13830 Red Hill Ave. TUSTIN 92780-4637 (714) 832-1730

8401 Smile Dental Care 14001 Newport Avenue, Suite C TUSTIN 92780-7830 (714) 508-8500

5421 SoCal Smiles Dentistry 12791 Newport Avenue, Suite 200 TUSTIN 92780-8023 (714) 730-7777

9044 Western Dental Services, Inc. 8001 Westminster Avenue WESTMINSTER 92683-3302 (714) 373-9971

5066 Star Bright Dental 5871 Westminster Blvd., Suite G WESTMINSTER 92683-3580 (714) 373-5999

13341 Lan Ngoc Pham, DDS 14044 Magnolia Street, Suite # 125 WESTMINSTER 92683-4700 (714) 893-6768

9256 Taylor Pham Dental Corporation 15310 Goldenwest Street WESTMINSTER 92683-6150 (714) 893-2411

6517 Ngoc-Lien T. Nguyen 9435 Edinger Avenue WESTMINSTER 92683-7425 (714) 775-1818

7865 Yorba Linda Smiles Dental Group (PDS) 16691 Yorba Linda Blvd. YORBA LINDA 92886-2046 (714) 854-9920

5721 Eastlake Village Dental 20429 E. Yorba Linda Blvd. YORBA LINDA 92886-3042 (714) 695-9530

4841 Dr. Nilar Thein 17540 Yorba Linda Blvd YORBA LINDA 92886-3825 (714) 996-4057

4731 Yorba Linda Dental Group-PDS 18432 Yorba Linda Blvd., Suite D YORBA LINDA 92886-4008 (714) 970-2801

4266 Family Dentistry 19751 Esperanza Road YORBA LINDA 92886-6452 (714) 779-9870

6371 Sierra Smiles Dental Group-PDS 2503 Bell Road AUBURN 95603-2533 (530) 823-3803

4972 Parkway Dental Group and Orthodontics - PDS 781 Sterling Parkway LINCOLN 95648-7320 (916) 543-7880

4749 Lincoln Hills Family Dental 2295 Fieldstone Drive Suite 100 LINCOLN 95648-8807 (916) 543-0222

5002 Highland Dental Group-PDS 3291 Stanford Ranch Road, Suite 102 ROCKLIN 95765-5577 (916) 435-1665

4748 Rocky Ridge Family Dental 1700 Rocky Ridge Dr. Suite 100 ROSEVILLE 95661-2832 (916) 782-6001

5155 Interdental Care 106 North Sunrise Ave. #B-10 ROSEVILLE 95661-2915 (916) 787-0631

4744 Said Shaari D.D.S. 406 Sunrise Ave Suite 270 ROSEVILLE 95661-4129 (916) 789-4568

8639 Healthy Impression Dental Group 730 Sunrise Avenue, Suite 120 ROSEVILLE 95661-4549 (916) 797-0868

4812 Granite Bay Smiles-PDS 8630 Sierra College Blvd, Ste 110 ROSEVILLE 95661-7009 (916) 783-0244

15339 Coast Dental - Roseville 1079 Sunrise Avenue, Suite C ROSEVILLE 95661-7009 (916) 297-4700

9701 ConfiDental Care 927 Reserve Drive, Suite A ROSEVILLE 95678-1383 (916) 742-5424

4813 Pleasant Grove Dental Group-PDS 10357 Fairway Drive, Suite 100 ROSEVILLE 95678-3544 (916) 782-4500

9317 Western Dental Services, Inc 9450 Fairway Dr, Ste 110 ROSEVILLE 95678-3588 (916) 771-8464

4961 Pavillions Dental Group-PDS 1259 Pleasant Grove Blvd Suite 100 ROSEVILLE 95678-6974 (916) 782-2010

4286 Dental Works 6350 W Ramsey Ste A BANNING 92220-3065 (951) 769-0466

9105 Western Dental Services, Inc. 887 West Ramsey Street BANNING 92220-4437 (951) 849-3214

7345 Beaumont Dental Group 930 Beaumont Avenue BEAUMONT 92223-1831 (951) 845-2200

10289 Michael R. Bryant 1080 Beaumont Avenue BEAUMONT 92223-1833 (951) 845-7300

6115 Beaumont Smiles Dental Group-PDS 1620 2nd Street MarketPlace, Ste A BEAUMONT 92223-3160 (951) 769-9131

FQHC013061 Centro Medico Cathedral City 69175 Ramon Road, Building A CATHEDRAL CITY 92234-3344 (760) 219-4480

4467 Pure Dental 69420 Ramon Road CATHEDRAL CITY 92234-3349 (760) 202-1171

8903 Western Dental Services, Inc. 69160 Ramon Road Suite 100 CATHEDRAL CITY 92234-9140 (760) 969-5469

8030 Ruben Mendez, DDS Dental Office 68100 Ramon Road SUTE #A-4 CATHEDRAL CITY 92234-9998 (760) 483-3344

5973 Peter Escutin, DDS, Inc. 3848 N. McKinley St, Ste D CORONA 92879-6113 (951) 371-2424

6783 Corona Dental Center 161 McKinley Street, Suite 102 CORONA 92879-6530 (951) 737-3746

5952 McKinley Dentistry 115 McKinley St, Ste 105 CORONA 92879-6562 (951) 280-9300

9061 Western Dental Services, Inc. 617 North Main Street CORONA 92880-1467 (951) 736-9508

5833 Dental Health Corona 4264 Green River Road CORONA 92880-1632 (951) 340-0200

7656 Eastvale Dental 6987 Hamner Avenue, Suite # 5 CORONA 92880-3810 (951) 371-3464

PLACER COUNTY

RIVERSIDE COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 13: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY500156 Corona Endodontic Group 1810 Fullerton AVe Suite 106 CORONA 92881-3104 (951) 898-2050

4346 South Corona Dental Group-PDS 1312 E. Ontario Avenue Suite 102 CORONA 92881-6645 (951) 273-0370

7934 Orchard Dental Group 2150 California Ave, Ste 107 CORONA 92881-7271 (951) 279-4333

10490 Canyon Dental Associates 2097 Compton Avenue Building 1, Suite 102 CORONA 92881-7289 (951) 273-0555

5022 Gentle Dental Corona 1074 W 6th St, Ste 104 CORONA 92882-1639 (951) 279-7650

2783 Corona Family Dental Group 1358 W. 6th Street, Suite 101 CORONA 92882-3167 (951) 734-4620

15208 California Dental 650 S Lincoln Avenue, Suite 102 CORONA 92882-3540 (951) 372-0440

4832 Main Street Dental Group-PDS 131 West Ontario Ave Suite 102 CORONA 92882-5274 (951) 898-9700

8847 Bright Smile Dentistry 920 N State St HEMET 92543-1473 (951) 765-1234

9857 Sahara Dental 255 North Gilbert Street Unit C-1 HEMET 92543-4066 (951) 766-7990

8742 Jean Miller, DDS 810 St. John Place, Suite C HEMET 92543-4414 (951) 652-4040

7788 Stetson Family Dental 475 West Stetson Avenue, Suite L HEMET 92543-7073 (951) 925-4002

10291 Hemet Smiles 1001 South State Street, Suite # B HEMET 92543-7188 (951) 658-6100

6845 Hemet Dental Care 1300 E. Florida Avenue, Suite A20 HEMET 92544-8640 (951) 765-5544

8492 Sunshine Dental Care 239 North Sanderson Avenue #C-2 HEMET 92545-3609 (951) 925-1223

8902 Western Dental Services, Inc. 3027 West Florida Avenue HEMET 92545-3617 (951) 929-2222

4723 Hemet Dental Group and Orthodontics-PDS 4000 W Florida Ave HEMET 92545-5279 (951) 658-9980

8905 Western Dental Services, Inc. 81735 Highway 111 Suite A INDIO 92201-0713 (760) 391-4466

6414 Hovsep Nargizyan Dental Corporation 81637 Hwy 111 #1 INDIO 92201-5439 (760) 342-1448

4252 Desert Dental Service 81955 Highway 111, Ste 102 INDIO 92201-5445 (760) 347-2331

4919 Gentle Dental Indio 81557 Dr Carreon Boulevard, Suite D3 INDIO 92201-5563 (760) 775-5284

6937 Indio Dental Office 80-545 Highway 111, Suite 3 INDIO 92201-8367 (760) 342-9938

4360 La Quinta Dental Group-PDS 78-595 Hwy 111, #300 LA QUINTA 92253-2084 (760) 771-0300

7579 Jefferson Dental 79800 Highway 111, Suite # 109 LA QUINTA 92253-6003 (760) 775-0600

5139 Oak Grove Detal Group-PDS 18285 Collier Avenue, Suite B LAKE ELSINORE 92530-2786 (951) 471-0034

4941 Marketplace Dental Group-PDS 29273 Central Avenue, Suite A LAKE ELSINORE 92532-2254 (951) 245-8664

8928 Diamond Dental and Orthodontics 31500 Grape Street Suite 8 LAKE ELSINORE 92532-9702 (951) 471-1628

6193 Menifee Smile Dentistry and Orthodontics-PDS 30406 Haun Road, Ste 740 MENIFEE 92584-6816 (951) 679-4624

3612 All Dental of Menifee 27192 Newport Road, Suite 2 MENIFEE 92584-7387 (951) 672-9457

6779 Mira Loma Dental 11058 Limonite Avenue MIRA LOMA 91752-2120 (951) 737-6005

4728 Gateway Dental Group and Orthodontics-PDS 12571 Limonite Avenue, Suite 230 MIRA LOMA 91752-3677 (951) 360-3444

5837 Mira Loma Smiles - PDS 6445 Pat's Ranch Road, Suite G MIRA LOMA 91752-4439 (951) 808-5881

4921 Gentle Dental Moreno Valley 12800 Heacock St, Ste A-1 MORENO VALLEY 92553-2868 (951) 247-2688

4569 All-Brite Dental Care 12712 Heacock Street Suite 4 MORENO VALLEY 92553-3037 (951) 247-7400

5851 Robert Silvola, DDS 12810 Heacock St. #B103 MORENO VALLEY 92553-3171 (951) 242-3441

2806 Family Dental Office 24760 Sunnymead Blvd., Suite 103 MORENO VALLEY 92553-3791 (951) 242-6242

8378 Katyuska Paredes, DDS 23318 Olivewood Plaza Drive, Suite C MORENO VALLEY 92553-5219 (951) 242-5585

13064 Moreno Dental Care 23750 Alessandro Boulevard, Suite # 0-102 MORENO VALLEY 92553-8815 (951) 656-0088

5672 Stoneridge Dental Group-PDS 27110 Eucalyptus Avenue, Suite A MORENO VALLEY 92555-4542 (951) 616-1759

4607 Coast Dental of California 12125 Day Street, Bldg. N, Suite 211 MORENO VALLEY 92557-6702 (951) 222-2000

9059 Western Dental Services, Inc. 23185 Hemlock Avenue, Suite #1 MORENO VALLEY 92557-8043 (951) 243-1000

6691 Copper Canyon Smiles 23771 Washington Ave, Ste H-102 MURRIETA 92562-2265 (951) 691-5096

4361 Murrieta Dental Group-PDS 40770 California Oaks Rd MURRIETA 92562-5794 (951) 677-3078

13307 Madison Springs Dental Group 25285 Madison Avenue, Suite #107 MURRIETA 92562-8955 (951) 698-3585

8906 Western Dental Services, Inc. 25155 Madison Avenue Suite 101 MURRIETA 92562-8975 (951) 834-9750

4352 Murrieta Dental Group-PDS 25395 Madison Avenue, Suite 103 MURRIETA 92562-9003 (951) 696-5660

6753 Cal Oaks Dental Excellence 40414 Cal Oaks Road, Suite A MURRIETA 92562-9998 (951) 304-7472

6702 Friendly Dental Center 39252 Winchester Road, Ste 117 MURRIETA 92563-3511 (951) 894-7769

4774 East Murrieta Dental Group-PDS 39209 Winchester Rd Suite 100 MURRIETA 92563-3513 (951) 304-1348

5054 Plaza Dental Group-PDS 40484 Murrieta Hot Springs Road, Suite 102 MURRIETA 92563-6437 (951) 461-4306

4922 Gentle Dental Norco 1260 Hamner Ave, Ste C&D NORCO 92860-3136 (951) 279-5200

4943 Hamner Dental Group-PDS 140 Hidden Valley Pkwy Suite K NORCO 92860-4002 (951) 898-8673

5834 Desert Gateway Dental Group-PDS 34-460 Monterey Avenue, Suite 100 PALM DESERT 92211-6008 (760) 610-0358

4363 Desert Crossing Dental Group-PDS 72-333 Highway 111, #B PALM DESERT 92260-2790 (760) 674-9666

9575 A.Saeed D.D.S. 72695 Highway 111 A8 PALM DESERT 92260-3320 (760) 340-2160

4918 Gentle Dental Desert Dental 1111 Tahquitz Canyon Way, Suite 210 PALM SPRINGS 92262-0102 (760) 327-1125

7447 Tahquitz Dental Group 1921 E.Tahquitz Canyon Way PALM SPRINGS 92262-7001 (760) 325-6480

9330 Western Dental Services, Inc 555 S. Sunrise Way, Ste 400 PALM SPRINGS 92264-7894 (760) 322-6061

5836 Crossing Dental Group & Orthodontics -PDS 3150 Case Road, Building C PERRIS 92570-5552 (951) 345-4386

6166 Gentle Dental Perris 2560 N Perris Blvd Ste F1 PERRIS 92571-3226 (951) 657-6466

6872 Crossroads Family Dental 1675 North Perris Blvd. Suite A1 PERRIS 92571-4723 (951) 657-2222

5698 Rancho Mirage Dental Group-PDS 72-027 Highway 111, Suite C RANCHO MIRAGE 92270-4961 (760) 340-5155

5076 Universal Care Dental 4024 12th Street RIVERSIDE 92501-3561 (951) 784-0636

FQHC7357 Arlanza Family Health Center 8856 Arlington Avenue RIVERSIDE 92503-1365 (951) 710-3980

4894 Surja Pal Sharma D.D.S. 5515 Van Buren Blvd RIVERSIDE 92503-2066 (951) 352-5838

6931 M.A. Zareh, DDS 8990 Garfield Street, Suite 4 RIVERSIDE 92503-3922 (951) 687-6453

6201 California Dental Group of Riverside 3845 Pierce Street Unit A RIVERSIDE 92503-4983 (951) 359-1900

10487 La Sierra Family Dentistry 3410 La Sierra Avenue, Suite D RIVERSIDE 92503-5205 (951) 354-9550

5128 West Coast Dental Group of Riverside 3380 La Sierra Ave, Ste 108 RIVERSIDE 92503-5225 (951) 354-9999

4923 Gentle Dental Riverside 10168 Indiana Avenue RIVERSIDE 92503-5302 (951) 352-9747

4875 Gateway Dental Group of Riverside-PDS 10286 Indiana Avenue RIVERSIDE 92503-5357 (951) 359-5200

4609 Coast Dental of California 10001 Indiana Avenue RIVERSIDE 92503-5412 (951) 689-0701

4307 Central City Dental Group 6005 Arlington Ave RIVERSIDE 92504-1911 (951) 352-8318

9039 Western Dental Services, Inc. 3485 Madison Avenue RIVERSIDE 92504-3716 (951) 688-6949

9870 Melody Dental Care 7120 Indiana Avenue, Suite B RIVERSIDE 92504-4500 (951) 276-2877

6930 Family Dentistry 4710 La Sierra Avenue RIVERSIDE 92505-2726 (951) 324-8180

6072 Dental Health Riverside 6339 Brockton Avenue RIVERSIDE 92506-2031 (951) 369-3597

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 14: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY2820 Star Dental Group, Inc 6071 Magnolia Avenue RIVERSIDE 92506-2525 (951) 680-1777

4366 Arlington dental Group and Orthodontics - PDS 3297 Arlington Ave, Ste 101 RIVERSIDE 92506-3250 (951) 683-6055

7406 Djafari, DDS 6900 Brockton Avenue, Suite 2 RIVERSIDE 92506-3801 (951) 682-2245

15172 Raincross Dental 7028 Indiana Avenue RIVERSIDE 92506-4157 (951) 367-1345

4924 Gentle Dental Riverside Dental Practice 3630 Central Ave, Ste 6 RIVERSIDE 92506-5903 (951) 682-1720

4942 Canyon Springs Dental Group Moreno Valley-PDS 2878 Campus Pkwy Suite C-1 RIVERSIDE 92507-0966 (951) 571-0011

FQHC9655 University Community Health Center 2933 University Avenue RIVERSIDE 92507-4243 (951) 220-8230

7666 Riverside Dental Office 1485 University Avenue, Suite # A RIVERSIDE 92507-4497 (951) 784-4441

FQHC9868 Eastside Health Center 1970 University Avenue RIVERSIDE 92507-5202 (951) 213-3450

4742 Riverside Dentistry 1857 University Ave RIVERSIDE 92507-5345 (951) 781-3021

4871 Grove Dental Group-PDS 8735 Trautwein Road RIVERSIDE 92508-9474 (951) 776-1330

10571 San Jacinto Dental Group 701 W. Esplanade Avenue, Suite K & L SAN JACINTO 92582-4540 (951) 654-3424

6018 San Jacinto Smiles Dental Group 1821 S. San Jacinto Ave, Ste D SAN JACINTO 92583-5608 (951) 654-7744

6846 McCall Dental Practice 28115 Bradley Road, Suite 3 SUN CITY 92586-2239 (951) 723-1188

6363 Sun City Dentistry 28125 Bradley Road, Suite 210 SUN CITY 92586-2248 (951) 679-0520

7960 Bradley Family Dental Group 28401 Bradley Road Suite C SUN CITY 92586-3040 (951) 679-0691

4547 Menifee Dental Group-PDS 29950 Haun Rd Suite 302 SUN CITY 92586-6527 (951) 679-1667

7328 Friendly Dental Center 28314 Old Town Front Street TEMECULA 92590-1814 (951) 676-8920

2824 Temecula Dental Group 41593 Winchester, Road 211 TEMECULA 92590-4857 (951) 296-3366

6044 Rubin Nichols, DDS, Inc. 41690 Enterprise Circle N., Suite # 114 TEMECULA 92590-5617 (951) 296-9661

6075 Creekside Dental 41785 Nicole Ln, Ste A3 TEMECULA 92591-3874 (951) 699-3250

6048 Meadows Dental Group-PDS 31843 Rancho California Rd #300 TEMECULA 92591-5120 (951) 676-2613

4359 Temecula Dental Practice-PDS 29560 Rancho California Road, Suite 100 TEMECULA 92591-5294 (951) 699-2144

4610 Coast Dental of California 40620 Winchester Road, Suite B TEMECULA 92591-5504 (951) 719-3182

10486 Oasis Family Dental 41278 Margarita Road, Suite 101 TEMECULA 92591-5579 (951) 695-2290

15149 Western Dental Services, Inc. 41115 Winchester Road, Suite 102 TEMECULA 92591-6001 (951) 331-7020

8722 Gallery Smiles Dental Care 43950 Margarita Road, Suites F/G TEMECULA 92592-2732 (951) 302-1937

4549 Pacific Dental Group and Orthodontics-PDS 31754 Temecula Parkway TEMECULA 92592-6805 (951) 694-5255

7980 Anthem Dental 32065 Temecula Pkwy, Ste C TEMECULA 92592-6806 (951) 302-9300

FQHC9572 Centro Medico Coachella 55557 Campus Road THERMAL 92274-9407 (760) 399-4526

4730 Bear Creek Dental Group and Orthodontics-PDS 36068 Hidden Springs Rd Suite H WILDOMAR 92595-7681 (951) 678-0790

4351 Clinton Keith Dental Group-PDS 23905 Clinton Keith Rd #108 WILDOMAR 92595-7898 (951) 304-9700

4975 Walerga Dental Group-PDS 8008 Walerga Road, Suite 100 ANTELOPE 95843-9003 (916) 725-4530

5038 Sacramento Dental Group 6611 Coyle Ave. CARMICHAEL 95608-6311 (916) 965-6250

9620 Aura Dental Care 6024 San Juan Avenue Suite A CITRUS HEIGHTS 95610-5643 (916) 729-5849

4597 Coast Dental of California 6406 Sunrise Blvd, Suite ACD CITRUS HEIGHTS 95610-5992 (916) 727-1880

4931 Citrus Dental Group-PDS 5899 Sunrise Boulevard CITRUS HEIGHTS 95610-6866 (916) 967-7766

7740 Case Dental Group 9381 E Stockton Boulevard, Suite #116 ELK GROVE 95624-5069 (916) 683-2000

4598 Coast Dental of California 9184 E Stockton Blvd ELK GROVE 95624-9510 (916) 686-1101

4680 Elk Grove Dental Group-PDS 9640 Bruceville Rd Ste 101 ELK GROVE 95757-5937 (916) 686-9030

4539 River City Dental Group-PDS 8908 Madison Avenue FAIR OAKS 95628-4000 (916) 536-5151

9313 Western Dental Services, Inc 1016 Riley Street, Ste 1 FOLSOM 95630-3265 (916) 984-4127

8897 Folsom Dental Group 1840 Prairie City Road Suite #200 FOLSOM 95630-4041 (916) 351-9808

4599 Coast Dental of California 825 E. Bidwell, Suite 400 FOLSOM 95630-4207 (916) 984-4591

4727 Folsom Hills Dentistry Dental Group- PDS 2465 Iron Point Road, Suite 120 FOLSOM 95630-8754 (916) 984-9600

5132 Galt Plaza Dental 1067 C Street Suite 125 GALT 95632-1759 (209) 744-0463

9316 Western Dental Services, Inc 10321 Folsom Blvd, Ste A RANCHO CORDOVA 95670-3518 (916) 362-5201

4664 Zinfandel Dental Practice (North) 2001 Zinfandel Drive Suite B-5 RANCHO CORDOVA 95670-4265 (916) 638-5833

4538 Rancho Cordova Dental Group and Orthodontics-PDS 10910 Olson Drive, Suite 100 RANCHO CORDOVA 95670-5663 (916) 638-3780

7596 Capital Village Dental 3191 Zinfandel Drive, Suite # 21 RANCHO CORDOVA 95670-6375 (916) 859-0766

4678 Serena G. Pugeda, D.M.D. 2518 L Street, Suite A SACRAMENTO 95816-5655 (916) 446-7768

4704 A Miracle Smile by Dr Dezham Dental 2131 Capitol Ave Ste 100 SACRAMENTO 95816-5755 (916) 441-3311

9351 Western Dental Services, Inc. 5501 Stockton Blvd SACRAMENTO 95820-5414 (916) 739-6100

4705 Dr. Vinh D Phan 3337 El Camino Avenue SACRAMENTO 95821-6307 (916) 486-8240

7959 Elder Creek Dental Group 3811 Florin Rd, Ste 8 SACRAMENTO 95823-1818 (916) 392-7020

5420 Strawberry Creek Dental Group-PDS 8211 Bruceville Road, Suite 155 SACRAMENTO 95823-2313 (916) 525-7635

9356 Western Dental Services, Inc. 4401 Florin Rd. SACRAMENTO 95823-2511 (916) 428-4000

FQHC6396 Sacramento Community Clinic 7275 E. Southgate Drive, Suite 204 SACRAMENTO 95823-2629 (916) 428-3788

13454 Amarpreet S. Saini 7315 Stockton Boulevard, Suite #3 SACRAMENTO 95823-2731 (916) 422-8332

9103 Western Dental Services, Inc. 1701 Watt Avenue SACRAMENTO 95825-2141 (916) 973-1200

15161 Scripps Dental Group 79 Scripps Drive, Suite 204 SACRAMENTO 95825-6208 (916) 565-2570

4716 Dr. Said Shaari 77 Cadillac Dr, Ste 270 SACRAMENTO 95825-8338 (916) 649-8200

6025 Zinfandel Dental Practice (South) 6829 Savings Place, Suite 101 SACRAMENTO 95828-1291 (916) 391-1156

13333 Western Dental Services, Inc. 8324 Elk Grove Florin Road SACRAMENTO 95829-9546 (916) 509-3334

9320 Western Dental Services, Inc. 3645 Northgate Blvd, Ste A SACRAMENTO 95834-1641 (916) 286-7750

6010 Gill Professional Dental Corporation - PDS 3635 N. Freeway Blvd, Ste 110 SACRAMENTO 95834-2926 (916) 285-6691

8441 Market West Dental Group - PDS 3290 Arena Boulevard, Suite 610 SACRAMENTO 95834-3003 (916) 574-9400

6688 Luzminda C. Corpuz, DMD Inc 3711 Truxel Road, Ste 1 SACRAMENTO 95834-3610 (916) 928-9300

4652 Park Place Dental Group-PDS 4690 Natomas Blvd Suite 100 SACRAMENTO 95835-2230 (916) 515-4500

9319 Western Dental Services, Inc. 5247 Elkhorn Blvd, Ste C SACRAMENTO 95842-2509 (916) 344-1600

5920 Kennedy Family Dentistry, Inc. 1611 Executive Court, Ste 200 SACRAMENTO 95864-2665 (916) 487-5160

6331 Carnelian Family Dentistry 6626 Carnelian St ALTA LOMA 91701-4515 (909) 987-4113

9291 Smile Bright Dental 8750 19th Street ALTA LOMA 91701-4608 (909) 483-1177

8804 Sunburst Dental 17995 Hwy 18, Ste 2 APPLE VALLEY 92307-2210 (760) 946-5200

4917 Gentle Dental Apple Valley 18245 Highway 18, Suites 3 & 4 APPLE VALLEY 92307-2217 (760) 242-2977

SAN BERNARDINO COUNTY

SACRAMENTO COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 15: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY13309 Desert Dental Group 19195 Outer Highway 18, Suite #201 APPLE VALLEY 92307-2562 (760) 242-0796

5966 Parkway Dental Group-PDS 20258 US Highway 18, suite 400 APPLE VALLEY 92307-6197 (760) 646-8839

5407 Elite Dental Services 12291 Apple Valley Road APPLE VALLEY 92308-1701 (760) 247-3030

5971 Apple Valley Smiles-PDS 12218 Apple Valley Rd, Bldg 1, Ste 110 APPLE VALLEY 92308-1703 (760) 300-3678

9324 Western Dental Services, Inc 19071 Bear Valley Rd, Ste 1 APPLE VALLEY 92308-2718 (760) 240-7273

6288 Haisam, Inc. 18805 Bear Valley Road, Suite 4 APPLE VALLEY 92308-2728 (760) 961-7001

6275 Barstow Family Dental Center 1940 Main Street BARSTOW 92311-3218 (760) 256-1083

6269 Donald E Finch, D.D.S. 705 Virginia Way Ste G BARSTOW 92311-3955 (760) 256-6846

4606 Coast Dental of California 12233 Central Avenue CHINO 91710-2423 (909) 628-0208

2860 Group Dental Center 5480 Philadelphia Street, Suite D CHINO 91710-2486 (909) 464-2399

9031 Western Dental Services, Inc. 12400 Central Avenue CHINO 91710-2603 (909) 613-0106

6112 Chino Smiles Dental Group-PDS 6961 Schaefer Avenue CHINO 91710-9126 (909) 590-0640

4368 Chino Hills Dental Group-PDS 3410 Grand Avenue, Suite F CHINO HILLS 91709-1473 (909) 364-0027

6079 Pine Center Dental Group 5771 Pine Ave Suite S CHINO HILLS 91709-6529 (909) 597-2477

9458 Colton Dental Group 944 Via Lata COLTON 92324-3918 (909) 825-0545

2865 Dental Associates of Colton 1080 E. Washington Blvd., Suite B COLTON 92324-4185 (909) 783-9099

6774 Fontana Smiles 9261 Sierra Avenue FONTANA 92335-4710 (909) 822-2212

5812 Fontana Dental Group 9193 Sierra Ave. Suite D FONTANA 92335-4776 (909) 822-2226

9041 Western Dental Services, Inc. 10144 Sierra Avenue FONTANA 92335-6725 (909) 428-0500

4497 Sahara Dental 17250 Foothill Blvd Suite E FONTANA 92335-9052 (909) 428-8500

5325 Sierra Lakes Dental Group-PDS 16475 Sierra Lakes Parkway, Suite 140 FONTANA 92336-1259 (909) 357-0869

4817 Triangle Dental Group-PDS 14305 Baseline Avenue FONTANA 92336-3631 (909) 355-1700

13311 Desert Dental Group 15209 Bear Valley Road, Suite A HESPERIA 92345-1610 (760) 244-2535

13310 Desert Dental Group - Children's Center 15209 Bear Valley Road, Suite B HESPERIA 92345-1610 (760) 244-1666

13337 Radiant Dental 15398 Main Street, Suite A HESPERIA 92345-3391 (760) 949-7211

7632 Dental Group of Hesperia 15776 Main Street Suite 18 HESPERIA 92345-3406 (760) 949-8484

4916 Gentle Dental Hesperia 16455 Main Street, Ste # 17 HESPERIA 92345-3505 (760) 244-6077

4358 Desert Valley Dental Group-PDS 16868 Main Street HESPERIA 92345-6030 (760) 244-2625

7763 My Kids Dentist and Orthodontics Dental Group-PDS 12821 Main Street, Suite 120 HESPERIA 92345-9127 (760) 947-5435

6153 High Desert Smiles and Orthodontics-PDS 12821 Main Street, Ste 150 HESPERIA 92345-9130 (760) 947-9853

6177 Highland Dental Group and Orthodontics - PDS 27949 Greenspot Rd, Ste H HIGHLAND 92346-4444 (909) 864-6010

4279 First Dental Group 9804 Central Avenue MONTCLAIR 91763-2817 (909) 625-9100

7635 Xiang Ning Han DDS, Dental Corporation 4439 East Mission Boulevard, Suite # E MONTCLAIR 91763-6067 (909) 627-5856

5727 Irene M. Justin, D.D.S. 2413 S Grove Ave ONTARIO 91761-6225 (909) 947-9700

8447 River Arch Dental 2920 South Archibald Avenue, Suite C ONTARIO 91761-9202 (909) 923-2273

5729 Ontario Family Dentistry 528 N. Fern Avenue ONTARIO 91762-3210 (909) 460-9552

2880 William H. Stanley, D.D.S. 211 N. Euclid Avenue ONTARIO 91762-3512 (909) 983-9639

2882 JOGI Dental 2242 S. Mountain Avenue ONTARIO 91762-6132 (909) 391-1549

10570 Spectrum Dental Arts 1049 W. Philadelphia Street ONTARIO 91762-6145 (909) 391-2324

4275 Bright Dental Care 2543 S. Euclid Avenue ONTARIO 91762-6620 (909) 933-5266

6951 Mission Dental Care 941 W Mission Blvd, Ste H ONTARIO 91762-6890 (909) 984-7883

5067 Michael J. Min, DDS 1921 E. Fourth Street ONTARIO 91764-2603 (909) 989-1556

6279 White Smile Dental 3495 East Concourse Unit A ONTARIO 91764-4996 (909) 483-1379

6000 Ontario Smiles-PDS 4190 E. 4th Street, Ste C ONTARIO 91764-5263 (909) 532-8518

9228 Western Dental Services, Inc 8678 19th St. Ste 140 RANCHO CUCAMONGA 91701-4559 (909) 257-2013

10311 Alta Loma Dental Care 7283 Carnelian Street RANCHO CUCAMONGA 91701-5526 (909) 987-6268

5974 Rania N. Refaat, DDS 7388 Carnelian St, Ste C RANCHO CUCAMONGA 91730-1160 (909) 989-1758

4608 Coast Dental of California 9349 Foothill Blvd., Suite B RANCHO CUCAMONGA 91730-3567 (909) 980-6363

8483 Hattar Dental Inc. 9950 West Foothill Boulevard, Suite T RANCHO CUCAMONGA 91730-3684 (909) 980-4816

4369 North Rancho Cucamonga Dental Grp-PDS 10797 Foothill Blvd RANCHO CUCAMONGA 91730-3858 (909) 581-0888

10305 Stadium Dental & Orthodontics 11897 Foothill Boulevard, Suite A RANCHO CUCAMONGA 91730-3941 (909) 476-9678

10395 Rancho Cucamonga Smiles Dentistry - PDS 7319 Milliken Avenue, Suite 110 RANCHO CUCAMONGA 91730-6794 (909) 945-3650

6928 Rancho Cucamonga Dental Care 10470 Foothill Boulevard, Suite 126 RANCHO CUCAMONGA 91730-6945 (909) 989-2303

10503 Golden Smiles Dental 9635 Milliken Avenue, Suite 103 RANCHO CUCAMONGA 91730-9004 (909) 481-8990

5835 Monet Dental Group-PDS 12455 Victoria Gardens Lane, Suite 190 RANCHO CUCAMONGA 91739-7534 (909) 646-3057

4873 Winery Estate Dental Group-PDS 7369 Day Creek Blvd Suite F103 RANCHO CUCAMONGA 91739-8020 (909) 646-7902

7548 Brookside Dental Associates / Specialties 720 Brookside Avenue, Suite 100-101 REDLANDS 92373-5189 (909) 798-7111

5043 United Dental Group 434 Cajon St Suite 101 REDLANDS 92373-5978 (909) 793-8793

9292 Smile Bright Dental 414 Tennessee Street, Ste K-1 REDLANDS 92373-8152 (909) 798-4000

9305 Western Dental Services, Inc. 1715 W. Redlands Blvd, Ste B REDLANDS 92373-9601 (909) 801-8140

4512 Redlands Dental Group - PDS 422 Orange Street REDLANDS 92374-3206 (909) 792-7500

9619 Rialto Dental Center 1374 West Foothill Boulevard Suite 2E RIALTO 92376-4621 (909) 874-7444

9230 Western Dental Services, Inc 260 W. Foothill Blvd RIALTO 92376-5048 (909) 546-1367

4654 Care Family Dental Group 2836 W. Rialto Ave. Suite A RIALTO 92376-6816 (909) 820-9454

4347 Rialto Dental Group-PDS 1629 S. Riverside Avenue RIALTO 92376-7707 (909) 421-2225

9538 Metta Surya Family Dentistry 1734 North Riverside Avenue Suite 3 RIALTO 92376-8058 (909) 875-1279

2894 Dental Care of Rialto 1817 N Riverside Ave RIALTO 92376-8069 (909) 879-1024

4883 Arrowhead Family Dentistry 407 South E Street SAN BERNARDINO 92401-2012 (909) 889-3300

4239 Antoine Sourialle, DDS 399 East Highland Avenue, Ste 120 SAN BERNARDINO 92404-3812 (909) 881-0645

13657 Dat Vo, D.D.S. 1470 E. Highland Ave., #D SAN BERNARDINO 92404-4647 (909) 883-6400

6001 Ahmed M Naji, D.D.S. 1799 North Waterman Avenue, Suite E SAN BERNARDINO 92404-5107 (909) 883-8282

5404 Osvaldo R. Garcia, D.D.S. 1428 N. Waterman Avenue, Suite A SAN BERNARDINO 92404-5382 (909) 889-1111

8446 Seena Boby, D.D.S. 807 West Highland Avenue SAN BERNARDINO 92405-3840 (909) 713-0204

4773 Sierra Gateway Dental Office 4168 N Sierra Way SAN BERNARDINO 92407-3819 (909) 886-8900

5402 Brenda Evans-Louka, D.D.S. 1848 Commer Center East SAN BERNARDINO 92408-3406 (909) 382-0255

9871 Melody Dental Care 1918 Business Center Drive, Suite 210 SAN BERNARDINO 92408-3441 (909) 890-9398

6069 Inland Dental Center 362 East Vanderbilt Way SAN BERNARDINO 92408-3593 (909) 384-1111

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 16: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4754 Hub Plaza Dental Group-PDS 1047 E. Harriman Place, Suite B SAN BERNARDINO 92408-4203 (909) 796-6700

9055 Western Dental Services, Inc. 1199 North E Street SAN BERNARDINO 92410-3507 (909) 381-6507

6344 Sure Smiles 275 East 9th Street Suite L SAN BERNARDINO 92410-4400 (909) 381-5555

4589 Vernon Dental Group 1655 N. Mount Vernon Avenue, Unit B SAN BERNARDINO 92411-1427 (909) 885-8707

4869 Crossroads Dental Group-PDS 1875 N. Campus Avenue, Suite C UPLAND 91784-8211 (909) 985-2302

4681 Douglas Johnson, D.D.S., Inc. 980 E. Foothill Blvd., Ste. 104 UPLAND 91786-4068 (855) 331-3334

13166 Katyuska Paredes, DDS 615 North Benson Avenue, Suite F UPLAND 91786-5076 (909) 949-4070

3910 The Upland Dental Office 350 S. Euclid Avenue, Suite A UPLAND 91786-6665 (909) 946-8334

6278 Hi-Country Dental Care 13186 Amargosa Road VICTORVILLE 92392-8503 (760) 241-8181

4371 Desert Valley Dental Group-PDS 13622 Bear Valley Road, Suite 10 VICTORVILLE 92392-8509 (760) 245-2010

5065 Desert Sky Dental Group-PDS 15667 Roy Rogers Drive, Suite A-101 VICTORVILLE 92394-2158 (760) 843-5824

13597 Viewpoint Dental Assoc 15366 11th Street, Ste G VICTORVILLE 92395-3726 (760) 245-8616

6801 Hattar Dental 15366 11th Street, Suite F VICTORVILLE 92395-3726 (760) 243-3595

5877 Roy Soriano, DDS., Inc. 15165 Seventh Street, Ste I VICTORVILLE 92395-3816 (760) 245-7704

4882 Victorville Family Dentistry 14495 Seventh St., Suite A VICTORVILLE 92395-4233 (760) 245-7800

13313 Desert Dental Group 12640 Hesperia Road, Suite A VICTORVILLE 92395-7753 (760) 241-3336

13312 Desert Dental Group - Children's Center 12640 Hesperia Road, Suite C VICTORVILLE 92395-7753 (760) 245-6396

9323 Western Dental Services, Inc 15290 Bear Valley Road, Ste B VICTORVILLE 92395-8766 (760) 951-7777

7647 Julian M. Tudose, DDS, Inc. 32999 Yucaipa Boulevard, Suite # 114 YUCAIPA 92399-1956 (909) 790-2941

2917 Yucaipa Family Dentistry 34488 Yucaipa Blvd., Suite F YUCAIPA 92399-2482 (909) 797-0303

10062 Ota Dental Corp. 11834 Bryant Street, Suite 103 YUCAIPA 92399-3848 (909) 797-8090

13376 Yucaipa Gentle Dentistry 34895 Yucaipa Boulevard YUCAIPA 92399-4234 (909) 790-6240

4336 Imperial Dental Practice-PDS 34880 Yucaipa Blvd YUCAIPA 92399-4235 (909) 797-1136

FQHC9867 Woolcott Dental 590 Palm Canyon Drive, Suite 212 BORREGO SPRINGS 92004-9998 (760) 767-5112

6765 Jose M. Sosa, DDS, Inc. 1850 Marron Road, Suite 108 CARLSBAD 92008-1174 (760) 730-0168

6882 Plaza Family Dental Group 2630 El Camino Real. CARLSBAD 92008-1214 (760) 434-1761

6751 Gentle Dental Carlsbad 2620 El Camino Real, Suite A CARLSBAD 92008-1255 (760) 720-0966

6351 Gateway Dental Group and Orthodontics-PDS 2635 Gateway Road, Suite 101 CARLSBAD 92009-1753 (760) 431-8112

4914 Gentle Dental Chula Vista Dental Associates (GP) 345 F Street Suite 140 CHULA VISTA 91910-2632 (619) 476-1001

7529 Affinity Dental of South Bay 290 Landis Avenue, Suites A & B CHULA VISTA 91910-2638 (619) 691-0121

2927 Twin Oaks Family Dentistry 230 F Street, Suite D CHULA VISTA 91910-2845 (619) 427-5262

8448 Victor J. Mora, DDS 480 4th Avenue, Suite 310 CHULA VISTA 91910-4403 (619) 425-8060

4611 Coast Dental of California 510 Broadway, Suites 4&5 CHULA VISTA 91910-5306 (619) 476-9400

15138 Smile San Diego 585 Telegraph Canyon Road CHULA VISTA 91910-6436 (619) 421-7010

9853 Canyon Vista Dental Group-PDS 700 Otay Lakes Road CHULA VISTA 91910-6912 (619) 421-8474

8224 Glenn E Gibson, D.D.S. 885 Canarios Court, Suite #204 CHULA VISTA 91910-7877 (619) 216-9900

3945 Dental Checkup 1010 Broadway, Ste. 5 CHULA VISTA 91911-1867 (619) 422-0800

9042 Western Dental Services, Inc. 1101 Broadway CHULA VISTA 91911-2706 (619) 422-8884

5347 Chula Vista Dental Care 1177 Broadway, Suite 19 CHULA VISTA 91911-2771 (619) 409-1400

4694 Alberto Broas, DDS 1295 Broadway St, Ste 204 CHULA VISTA 91911-2976 (619) 420-9027

4708 Maria I. Zuniga DDS 1287 3rd Avenue, Suite 201 CHULA VISTA 91911-3237 (619) 422-3473

6868 Carmen Denise Maroon-Lopez 2648 Main Street, Suite A CHULA VISTA 91911-4664 (619) 423-5200

5023 Bonita Smiles Dentistry 1558 E. H Street Suite B CHULA VISTA 91913-2018 (619) 421-9070

5411 Village Dental Group-PDS 878 Eastlake Parkway, Suite 1511 CHULA VISTA 91914-4550 (619) 739-4936

2932 Del Mar Professional Dental Group 13983 Mango Drive, Suite 104 DEL MAR 92014-3146 (858) 792-6662

4613 Coast Dental of California 2990 Jamacha Rd Suite 132 EL CAJON 92019-4320 (619) 670-1700

8596 RSD Dental Group-PDS 2907 Jamacha Road, Suite B EL CAJON 92019-4342 (619) 660-2424

4806 El Cajon Family Dental 2720 Fletcher Pkwy EL CAJON 92020-2110 (619) 466-1292

10356 Fletcher Parkway Family Dental Group 2295 Fletcher Parkway, Suite 101 EL CAJON 92020-2140 (619) 644-3307

7448 Dental Arts Group 707 Arnele Avenue EL CAJON 92020-2501 (619) 444-1001

3660 East County Dental Associates 700 N. Johnson Avenue, Suite P EL CAJON 92020-2589 (619) 444-3127

5878 Horizon Dental Group 742 Broadway EL CAJON 92021-4630 (619) 440-0071

9058 Western Dental Services, Inc. 583 North 2nd Street EL CAJON 92021-6449 (619) 440-5800

4612 Coast Dental of California 1242 East Main Street EL CAJON 92021-7205 (619) 444-6355

5218 East County Family Dental Center 13465 Camino Canada Road, Suite 110-A EL CAJON 92021-8814 (619) 390-3669

4897 Camino Dental Group-PDS 1340 Encinitas Blvd Suite 100 ENCINITAS 92024-2844 (760) 942-3900

13206 Village Square Dental 1534 Encinitas Boulevard ENCINITAS 92024-2932 (760) 944-0453

10290 Richard J. Gill Inc 285 North El Camino Real, Suite # 216 ENCINITAS 92024-5385 (760) 753-1227

4113 Shahriyar Zandkarimi, D.D.S. 240 West Mission Avenue, Suite A & B ESCONDIDO 92025-1700 (760) 747-7000

4506 Escondido Smiles Dental Group-PDS 860 W Valley Parkway Ste 100 ESCONDIDO 92025-2534 (760) 745-1585

13465 Familycare Dental 1114 W. Valley Parkway ESCONDIDO 92025-2559 (760) 738-1070

10260 Maple Street Dental Group 327 S. Maple Street ESCONDIDO 92025-4122 (760) 745-2550

4846 Acacia Dental Care 639 South Escondido Boulevard ESCONDIDO 92025-4817 (760) 489-6197

6469 Escondido Dental Group 403 W. Felicita Avenue ESCONDIDO 92025-6517 (760) 233-2260

9307 Western Dental Services, Inc 1468 E. Valley Pkwy ESCONDIDO 92027-2314 (760) 480-8700

7708 North County Dental Specialties 1356 West Valley Parkway, Suite J ESCONDIDO 92029-2138 (760) 233-5887

4913 Gentle Dental Del Lago 3440 Del Lago Boulevard, Suite C ESCONDIDO 92029-7430 (760) 746-8777

6672 Smilehaven Dental Center 4700 Spring Street, Ste 210 LA MESA 91942-0273 (619) 464-2801

6743 Gentle Dental Grossmont 5565 Grossmont Center Drive, Suites #459 & #354 LA MESA 91942-3023 (619) 464-3383

4614 Coast Dental of California 5601 Grossmont Center Dr., Suite 120 & 200 LA MESA 91942-3074 (619) 462-2272

3659 Affinity Dental of La Mesa 8881 Fletcher Pkwy Suite 325 LA MESA 91942-3194 (619) 697-2800

7750 Woodside Dental 12110 Woodside Avenue LAKESIDE 92040-3012 (619) 443-0444

9040 Western Dental Services, Inc. 1539 East Plaza Boulevard, Suite # A NATIONAL CITY 91950-3641 (619) 474-1072

6493 Crown Dental Group 2405 Hoover Ave NATIONAL CITY 91950-6619 (619) 474-6200

3957 Thomas Toma, D.M.D. 3460 Highland Ave Ste D NATIONAL CITY 91950-7446 (619) 420-1100

9308 Western Dental Services, Inc 3125 Vista Way, Ste 100 OCEANSIDE 92054-3630 (760) 439-1000

SAN DIEGO COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 17: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4648 South Oceanside Dental Group and Orthodontics 2484 Vista Way, Suite B OCEANSIDE 92054-5682 (760) 439-0334

5724 North Coast Dental Group 3910 Vista Way, Suite 111 OCEANSIDE 92056-4513 (760) 941-1414

4729 Quarry Creek Dental Group-PDS 3430 Marron Road, Suite 300 OCEANSIDE 92056-4674 (760) 730-1303

4348 College Dental Group-PDS 467 College Blvd., Suite 2 OCEANSIDE 92057-5436 (760) 631-3060

6285 Emerald Dental Group 4645 Frazee Road, Ste A OCEANSIDE 92057-6152 (760) 722-0137

13045 Oceanside Dental Care Center 3753 Mission Ave, Ste 116 OCEANSIDE 92058-1473 (760) 721-8888

8640 Pomerado Dental Arts 15725 Pomerado Road, Suite 202 POWAY 92064-2058 (858) 485-7788

4415 Suhir Aswad D.D.S. 13514 Pomerado Rd #A POWAY 92064-3517 (858) 486-2328

2969 A Poway Dental Group 13422 Pomerado Road, Suite 202 POWAY 92064-3548 (858) 679-4949

9309 Western Dental Services, Inc 12649 Poway Rd. POWAY 92064-4415 (858) 486-6672

6295 Mark W Collins, D.D.S. 12285 Scripps Poway Parkway, Suite 102 POWAY 92064-6149 (858) 536-8338

4545 Poway Family Dental Group-PDS 13616 Poway Road Suite 100 POWAY 92064-6548 (858) 391-9300

4287 Apple Dental 1540 Fern St SAN DIEGO 92102-1536 (619) 236-8888

2973 Rancho Dental Group 1442 University Avenue SAN DIEGO 92103-3405 (619) 297-6104

15354 Affinity Dental of Hillcrest 3330 3rd Avenue, Suite 400 SAN DIEGO 92103-5639 (619) 291-8750

5473 Sunshine Dentistry 4230 30th Street SAN DIEGO 92104-1312 (619) 282-1007

4173 Mark J. Riedler, D.D.S. 4167 Ohio St. SAN DIEGO 92104-1926 (619) 281-6635

9076 Western Dental Services, Inc. 2948 University Avenue SAN DIEGO 92104-2934 (619) 294-4500

9570 Pristine Dental, Vu Thanh Thai D.M.D., Inc. 3078 University Avenue SAN DIEGO 92104-3034 (619) 295-8891

9126 Western Dental Services, Inc. 4123 University Avenue SAN DIEGO 92105-1418 (619) 521-0033

15137 Smile San Diego 2650 Camino Del Rio North, Suite 102 SAN DIEGO 92108-1630 (619) 298-0521

4615 Coast Dental - Mission Valley 1333 Camino Del Rio S, Suite 202 SAN DIEGO 92108-3520 (619) 260-4990

9617 Mission Valley Dentists- PDS 5638 Mission Center Road, Suite 107 SAN DIEGO 92108-4348 (619) 220-0159

8647 Houman Hivand, DDS 1707 Grand Avenue SAN DIEGO 92109-4469 (858) 483-7457

6732 San Diego Dental Arts 2168 Balboa Avenue, Suite 1 SAN DIEGO 92109-4600 (858) 273-2800

7530 Dreamsmile 4501 Mission Bay Drive , Suite #2-E SAN DIEGO 92109-4925 (858) 270-6626

2982 Richard Katnik D.D.S. Inc. 7319 Clairemont Mesa Blvd. SAN DIEGO 92111-1101 (858) 569-9651

10227 Clairemont Smiles Dentistry & Orthodontics Dental Group -PDS 5675 Balboa Avenue SAN DIEGO 92111-2705 (858) 268-0110

4617 Coast Dental of California 3820 Convoy St. SAN DIEGO 92111-3722 (858) 569-1100

9129 Gene P. Moore, DDS 286 Euclid Avenue, #201 SAN DIEGO 92114-3612 (619) 263-6683

10262 Hillside Family Dental Center 4990 70th Street SAN DIEGO 92115-1803 (619) 466-7166

4830 American Dental 5382 Clairemont Mesa Blvd SAN DIEGO 92117-2213 (858) 277-6620

2576 Soft Touch Dental Group 3735 Clairmont Mesa Blvd. SAN DIEGO 92117-2606 (858) 274-8200

9310 Western Dental Services, Inc 3802 Clairemont Mesa Blvd. SAN DIEGO 92117-2712 (858) 273-8300

10327 Clairemont Family Dental Group 3670 Clairemont Drive #14 SAN DIEGO 92117-5961 (858) 273-0540

6721 Gentle Dental Sorrento Valley 11230 Sorrento Valley Blvd, Ste 130 SAN DIEGO 92121-1338 (858) 458-9126

6720 Gentle Dental La Jolla 9339 Genesee Avenue, Suite #240 SAN DIEGO 92121-2121 (858) 552-1244

9025 Arvinda Reddy K. DDS, Inc 5440 Morehouse Drive, Suite 1800 SAN DIEGO 92121-6705 (858) 433-8798

6855 Stonecrest Dental Group and Orthodontics-PDS 3737 Murphy Canyon Road, Suite C-2 SAN DIEGO 92123-4454 (858) 694-0790

4776 Tierrasanta Dental Group-PDS 10405 Tierrasanta Blvd SAN DIEGO 92124-2603 (858) 492-9300

4616 Coast Dental of California 8997 Mira Mesa Blvd SAN DIEGO 92126-2738 (858) 536-5550

5412 Bernardo Heights Dental Group-PDS 15731 Bernardo Heights Parkway, Suite 101 SAN DIEGO 92128-3156 (858) 674-6813

10522 Frank E. Rafail, DMD 11738 Carmel Mountain Road, Suite #170 SAN DIEGO 92128-4635 (858) 675-1180

4822 Rite Family Dental 12330 Carmel Mtn Rd Suite C4 SAN DIEGO 92128-4654 (858) 485-0555

4406 Ray Derakshan D.M.D. Inc. 11134 Rancho Carmel Dr #103 SAN DIEGO 92128-4671 (858) 485-1010

6744 Gentle Dental Mira Mesa 9855 Erma Road, Suite 108 SAN DIEGO 92131-1007 (858) 578-9020

9576 Albert O. Broas, D.D.S., Inc. 3398 Palm Ave Suite D SAN DIEGO 92154-1687 (619) 575-1363

4649 San Marcos Dental Group-PDS 709 Center Drive, Suite 101 SAN MARCOS 92069-2502 (760) 746-2045

5956 Rasika Jain, D.D.S. 630 Nordahl Rd, Ste D SAN MARCOS 92069-3541 (760) 480-1750

9652 Santa Fe Smiles 365 South Rancho Santa Fe Road Suite 201 SAN MARCOS 92078-2338 (760) 471-6011

9898 Las Posas Dental Practice - PDS 145 South Las Posas Road, Suite 162 SAN MARCOS 92078-2419 (760) 736-4247

8968 Western Dental Services, Inc. 169 South Rancho Santa Fe Road SAN MARCOS 92078-2501 (760) 916-9595

3011 Edward Reidy, D.D.S. 9280 Mast Blvd. SANTEE 92071-2150 (619) 449-8530

5469 Santee Cottonwood Dental 9715 Mission Gorge Rd. SANTEE 92071-3809 (619) 448-7444

4511 Town Center Dental Group-PDS 9862 E. Mission Gorge Road, Suite E SANTEE 92071-3873 (619) 596-1600

5972 Santee Town Dental Group-PDS 246 Town Center Pkwy SANTEE 92071-5803 (619) 312-6006

4499 Vista Dental Group-PDS 435 S. Melrose Drive, Suite 105 VISTA 92081-6661 (760) 758-7580

6979 Premier Dental Arts 2311 S. Melrose Drive VISTA 92081-8788 (760) 599-1100

6824 Vista Village Family Dentistry 950 Civic Center Drive, Suite B VISTA 92083-5208 (760) 208-4030

7347 Vista Family Dental Center 985 S. Santa Fe Avenue, Suite 5 VISTA 92083-6912 (760) 940-8410

5051 Terrace Dental Group-PDS 320 Sycamore Avenue, Suite 60 VISTA 92083-7797 (760) 945-6043

3017 North County Dental Care 1000 East Vista Way VISTA 92084-4602 (760) 940-4266

4618 Coast Dental of California 1010 East Vista Way, Suite A,B,C VISTA 92084-4607 (760) 940-8811

6900 Pearl Dental Group 771 E. Vista Way, Suite 101 VISTA 92084-5501 (760) 560-0600

10565 Vista Dental Care & Specialty Center 138 Civic Center Drive, Suite 115 VISTA 92084-6042 (760) 630-5000

9326 Western Dental Services, Inc 1282 Market Street SAN FRANCISCO 94102-4801 (415) 552-1200

7349 Sassan Kafayi, DDS 450 Sutter Street, Suite 2104 SAN FRANCISCO 94108-4105 (415) 397-2244

5230 Van Ness Dental Group 2243 Van Ness Avenue, Ste 101 SAN FRANCISCO 94109-2504 (415) 441-2098

6053 South Van Ness Dental 240 Shotwell St, Ste 230 SAN FRANCISCO 94110-1323 (415) 431-9797

9327 Western Dental Services, Inc 2813 Mission St. SAN FRANCISCO 94110-3907 (415) 285-7500

15140 Gentle Dental San Francisco 2364 Geary Boulevard SAN FRANCISCO 94115-3305 (415) 921-6722

7557 Richmond Dental Care 4312 Geary Boulevard SAN FRANCISCO 94118-3004 (415) 752-5605

13714 Mikhail Berdichevsky D.D.S. 4444 Geary Boulevard, Suite 303 SAN FRANCISCO 94118-3045 (415) 386-5590

4886 Ocean View Dental 760 La Playa St SAN FRANCISCO 94121-3262 (415) 221-5592

4887 Noriega Dental 3749 Noriega St SAN FRANCISCO 94122-3903 (415) 661-8851

5021 Mouhannad Almajdalani, DDS 1550 LOMBARD ST SAN FRANCISCO 94123-3154 (415) 921-5555

SAN FRANCISCO COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

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LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY

9350 Western Dental Services, Inc. 320 S. Cherokee Ln. LODI 95240-4266 (209) 366-7970

8740 Dental Group of Lodi 531 Kettleman Lane LODI 95240-6005 (209) 366-1850

8976 Western Dental Services, Inc. 1332 East Yosemite Ave Suite F MANTECA 95336-5004 (209) 823-0219

7379 Western Dental Services, Inc. 1160 W Yosemite Blvd MANTECA 95337-5239 (209) 624-5160

5691 Stadium Dental Group-PDS 2288 Daniels Street MANTECA 95337-6706 (209) 456-5610

9348 Western Dental Services, Inc. 678 N. Wilson Way, Ste D STOCKTON 95205-4272 (209) 937-9000

4637 Coast Dental of California 5756 Pacific Avenue, Suite 75 STOCKTON 95207-5156 (209) 472-1765

8611 Dental Group of Stockton 1036 West Robinhood Drive, Suite 104 STOCKTON 95207-5622 (209) 956-9650

9352 Western Dental Services, Inc. 1407 W. March Ln. STOCKTON 95207-6111 (209) 473-4000

9325 Western Dental Services, Inc 7860 West Lane, Ste B-5 STOCKTON 95210-3317 (209) 954-1727

6799 Kevin Thang Pham, DDS, PC 3322 East Hammer Lane, Suite H STOCKTON 95212-3843 (209) 475-0869

4892 Park West Dental Group & Orthodontics-PDS 10928 Trinity Parkway STOCKTON 95219-7230 (209) 474-8000

4605 Coast Dental of California 2990 W Grant Line Rd TRACY 95304-7901 (209) 830-7797

8435 Tracy Smiles Modern Dentistry - PDS 2600 South Tracy Boulevard, Suite 170 TRACY 95376-9111 (209) 836-5441

9353 Western Dental Services, Inc. 2313 N. Corral Hollow Rd TRACY 95376-9401 (209) 832-9530

3041 Mouhannad Al-Majadalani, D.D.S. 320 WASHINGTON ST STE 105 DALY CITY 94015-1972 (650) 994-1111

4270 Campus Heights Dental Care 901 Campus Drive #304 DALY CITY 94015-4930 (650) 756-1900

4825 Joseph K Sarkhosh D.D.S. 888 Oak Grove Ave Suite 6 MENLO PARK 94025-4428 (650) 327-8081

9086 Western Dental Services, Inc. 975 Veterans Boulevard REDWOOD CITY 94063-1714 (650) 365-8900

7508 Deccan Dental 1528 S El Camino Real, Suite 408 SAN MATEO 94402-3060 (650) 477-6920

13330 Western Dental Services, Inc. 4100 South El Camino Real SAN MATEO 94403-5131 (650) 235-1460

13274 Northwood Dental 125 Northwood Drive, Suite A SOUTH SAN FRANCISCO 94080-5755 (650) 827-9746

9074 Western Dental Services, Inc. 5680 Calle Real GOLETA 93117-2317 (805) 979-3040

4909 Gentle Dental Santa Barbara 330 State St, Ste A SANTA BARBARA 93101-2360 (805) 963-1533

4394 Sea Breeze Dental Care 5168 Holister Ave SANTA BARBARA 93111-2526 (805) 683-5300

9079 Western Dental Services, Inc. 2205 South Broadway SANTA MARIA 93454-7813 (805) 346-2130

9334 Western Dental Services, Inc 780 1st Street GILROY 95020-4972 (408) 337-3620

6925 Kothary Dental Group 15075 Los Gatos Boulevard, Suite 100 LOS GATOS 95032-2056 (408) 356-2049

7946 Madhvi K. Desai, D.D.S. 40 N. Park Victoria Dr. Ste D MILPITAS 95035-4600 (408) 263-0371

6051 San Antonio Dental 530 Showers Dr, Ste 3 MOUNTAIN VIEW 94040-1457 (650) 917-8348

15436 Olive Tree Dental 2290 W El Camino Real #3 MOUNTAIN VIEW 94040-1632 (650) 938-8870

6221 Portia Dela Vega Oblea, DMD, Inc. 2356 Senter Road SAN JOSE 95112-2615 (408) 993-9939

9337 Western Dental Services, Inc 48 E. Santa Clara Street SAN JOSE 95113-7000 (408) 293-7000

6739 Huong T. Nguyen, DDS, Inc. 266 N Jackson Avenue, Suite 3 SAN JOSE 95116-1606 (408) 258-2207

7787 Jackson Family Dental 2324 Montpelier Drive, Suite # 3 SAN JOSE 95116-1612 (408) 937-5950

5538 Setty Dental, San Jose 1705 Branham, Ste B4 SAN JOSE 95118-5222 (408) 264-7630

4457 Story Dental Health Center 2454 Story Road SAN JOSE 95122-1058 (408) 272-0888

6485 Dental Concepts Eastridge 2200 Eastridge Loop, Suite 1060 SAN JOSE 95122-1478 (408) 238-6684

9339 Western Dental Services, Inc. 1110 S. King Rd, Ste 60 SAN JOSE 95122-2118 (408) 273-7252

6568 Accu-Dental-San Jose 730 Story Road #5 SAN JOSE 95122-2624 (408) 998-1088

9338 Western Dental Services, Inc. 1871 Camden Ave. SAN JOSE 95124-2945 (408) 377-5700

5603 Meridian Dental Associates 1241 Meridian Avenue SAN JOSE 95125-5210 (408) 266-6144

4602 Coast Dental of California 5130 Stevens Creek Blvd Suite B SAN JOSE 95129-1019 (408) 557-9830

5298 Smile Design 1206 North Capitol Ave. #201 SAN JOSE 95132-2572 (408) 272-1717

5313 Star Dental 980 El Camino Real #250 SANTA CLARA 95050-4289 (408) 247-3740

6566 Accu-Dental-Santa Clara 1171 Homestead Rd, Suite #175 SANTA CLARA 95050-5484 (408) 247-2612

6959 Silicon Valley Dental 2727 Walsh Avenue, Suite 102 SANTA CLARA 95051-0956 (408) 987-0530

13286 Western Dental Services, Inc. 2825 El Camino Real SANTA CLARA 95051-2901 (408) 343-4170

6081 Pleasant Dental 4533 Stevens Creek Blvd SANTA CLARA 95051-6856 (408) 345-9191

4299 Northern Dental 122 Saratoga Ave SANTA CLARA 95051-7305 (408) 556-1333

10378 Sunnyvale Smile Care 665 Knickerbocker Drive, Suite 12 SUNNYVALE 94087-1059 (408) 730-4064

6003 Remington Dental Care 500 E. Remington Dr, Ste 12 SUNNYVALE 94087-2611 (408) 720-1968

6916 Jesse A. Halbleib, A Dental Corp. 4450 Capitola Road, Suite 102 CAPITOLA 95010-3570 (831) 462-1612

9340 Western Dental Services, Inc 1107 Ocean Street SANTA CRUZ 95060-2818 (831) 600-3260

6567 Accu-Dental-Watsonville 40 Penny Lane #2 WATSONVILLE 95076-6008 (831) 724-0245

9197 Western Dental Services, Inc 1895 Main Street WATSONVILLE 95076-6024 (831) 763-4730

9466 Western Dental Services, Inc. 1310 Churn Creek Road Suite E3-E4 REDDING 96003-4004 (530) 510-4963

8967 Western Dental Services, Inc 1350 Churn Creek Road Suite F-1 REDDING 96003-4168 (530) 224-9700

5501 Julius Mosely, DDS 2750 N. Texas Street, Ste 340 FAIRFIELD 94533-1290 (707) 421-2161

9312 Western Dental Services, Inc. 2440 N. Texas Street FAIRFIELD 94533-1602 (707) 422-4600

4603 Coast Dental of California 1955 W. Texas Street, Suite 12 FAIRFIELD 94533-4462 (707) 428-5400

4209 Tri-City Dental Group 634 Webster Street, Suite A FAIRFIELD 94533-6249 (707) 399-8569

5378 Richard Ramos, D.M.D. Inc. 3075 Travis Blvd. FAIRFIELD 94534-3442 (707) 435-9004

9014 Nut Tree Smiles Dentistry & Orthodontics Dental Group - PDS 110 Nut Tree Parkway VACAVILLE 95687-3251 (707) 451-8390

6736 All Smiles Dental 1241 Alamo Drive, Suite 11 VACAVILLE 95687-5620 (707) 447-8289

4692 Alamo Family Dental Care 3000 Alamo Dr Ste 203 VACAVILLE 95687-6352 (707) 454-3888

8908 Western Dental Services, Inc. 791 E. Monte Vista Avenue VACAVILLE 95688-2920 (707) 359-2211

9322 Western Dental Services, Inc 3587 Sonoma Blvd VALLEJO 94590-2945 (707) 557-8000

8434 Setty, DDS Inc. Vallejo 480 Redwood Street, Suite 13 VALLEJO 94590-2958 (707) 554-2600

SANTA CLARA COUNTY

SANTA CRUZ COUNTY

SHASTA COUNTY

SOLANO COUNTY

SAN JOAQUIN COUNTY

SAN MATEO COUNTY

SANTA BARBARA COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.

Page 19: The provider directory is subject to change without notice. …fierroinsurance.com/wp-content/uploads/2014/05/Liberty... · 2014-05-20 · The provider directory is subject to change

LIBERTY Dental Plan

CA-400 Provider Directory

California

Member Services

(888) 703-6999

2/2014

ID# OFFICE NAME ADDRESS CITY ZIP PHONE

ALAMEDA COUNTY4604 Coast Dental of California 133 Plaza Drive, Suite R VALLEJO 94591-3703 (707) 557-6245

5574 Petaluma Family Dental Care 47 Maria Drive Suite #813 PETALUMA 94954-3548 (707) 763-3203

5131 Coast Dental of California 140 Stony Point Road, Suite A SANTA ROSA 95401-4121 (707) 578-3118

8895 Western Dental Services, Inc. 4100 Montgomery Drive, Suite B SANTA ROSA 95405-5283 (707) 537-2021

8896 Western Dental Services, Inc. 1240 Farmers Lane SANTA ROSA 95405-6707 (707) 542-5235

9468 Western Dental Services, Inc. 1705 Prescott MODESTO 95350-2543 (209) 572-6045

9354 Western Dental Services, Inc. 2045 W. Briggsmore Ave, Ste E MODESTO 95350-3770 (209) 527-3000

5294 Coast Dental of California 2900 Standiford Avenue, Suite 2 MODESTO 95350-6575 (209) 577-5008

9467 Western Dental Services, Inc. 1720 Hatch Road MODESTO 95351-5075 (209) 538-9551

15178 Coffee Dental Group 1130 Coffee Road, #1A MODESTO 95355-4228 (209) 523-5991

7703 Salida Dental Group 5708 Pirrone Road SALIDA 95368-9313 (209) 543-3888

8972 Western Dental Services, Inc. 703 North Golden State Boulevard TURLOCK 95380-3953 (209) 634-0500

10632 Turlock Smiles Denstistry & Orthodontics-PDS 2808 West Monte Vista Avenue TURLOCK 95380-8409 (209) 667-2879

9104 Western Dental Services, Inc. 727 Colusa Avenue YUBA CITY 95991-3943 (530) 751-0300

9161 Mandeep S. Sandhu, DDS 12572 Avenue 416, Suite A OROSI 93647-2192 (559) 528-4727

9360 Western Dental Services, Inc. 1213 W. Henderson Ave PORTERVILLE 93257-1454 (559) 306-3100

9873 Sweet Smiles 365 Pearson Drive, Suite 2 PORTERVILLE 93257-3360 (559) 788-2532

9167 Western Dental Services, Inc. 1111 East Tulare Avenue TULARE 93274-4561 (559) 688-3313

13002 Western Dental Services, Inc. 828 South Mooney Boulevard VISALIA 93277-2212 (559) 636-6000

9349 Western Dental Services, Inc. 1230 S. Mooney VISALIA 93277-4436 (559) 624-0503

4339 Camarillo Dental Group-PDS 2380 E. Las Posas Road, Suites A&D CAMARILLO 93010-3456 (805) 388-9110

5037 Stars Dental 1727 E. Daily Drive CAMARILLO 93010-6202 (805) 764-0222

3096 Farid R. Sehati, D.D.S. 484 MOBIL AVE STE #33 CAMARILLO 93010-6361 (805) 482-9568

5004 Mission Oaks Dental Group-PDS 4900 Verdugo Way Suite A CAMARILLO 93012-9998 (805) 484-7277

5241 Moorpark Dental Group and Orthodontics - PDS 718 Los Angeles Avenue, Suite 3 MOORPARK 93021-1756 (805) 529-1743

10288 Park Place Dental Group and Orthodontics - PDS 501 South Reino Road, Suite G NEWBURY PARK 91320-4276 (805) 499-4441

6406 Beach Cities Dental Group 1801 Solar Drive, Suite 290 OXNARD 93030-0155 (805) 278-8887

3102 Fremont Square Family Dentistry 712 N. Ventura Road., Suite A OXNARD 93030-4405 (805) 988-4540

10375 The Dental Office 300 S. A Street #102 OXNARD 93030-5886 (805) 228-4440

9077 Western Dental Services, Inc. 455 South "C" Street OXNARD 93030-5917 (805) 483-9586

5068 Rose Dental Group-PDS 2731 S. Rose Avenue, Suite 101 OXNARD 93033-3964 (805) 483-3658

6401 Oxnard Dental Group 2379 N. Oxnard Blvd OXNARD 93036-2000 (805) 278-9499

3101 Dental Care of Oxnard 1350 W. Gonzales Road., 2nd Floor OXNARD 93036-3365 (805) 988-5888

4337 Pacific Dental Group & Orthodontics-PDS 2150 N. Rose Avenue OXNARD 93036-5058 (805) 604-0449

6298 Simi Valley Smiles-PDS 2650 Tapo Canyon Road, Suite 107 SIMI VALLEY 93063-2308 (805) 522-5516

2537 Zak Family Dentistry 4537 Alamo Street, Suite A SIMI VALLEY 93063-6528 (805) 520-1100

4507 Simi Valley Dental Group PDS 2410 Sycamore Drive Suite A SIMI VALLEY 93065-2358 (805) 522-2600

9071 Western Dental Services, Inc. 1397 E Los Angeles Avenue, Suite F SIMI VALLEY 93065-2866 (805) 577-9100

4793 First Street Dental Group-PDS 1197 East Los Angeles Avenue, Suite E SIMI VALLEY 93065-2868 (805) 583-5700

9794 Anit Natt 1420 East Los Angeles Avenue Suite D SIMI VALLEY 93065-7807 (805) 581-1191

4852 East Oaks Dental Group-PDS 593 N Moorpark Rd, Ste B THOUSAND OAKS 91360-3732 (805) 494-5255

4243 Los Robles Dental Plaza 415 East Rolling Oaks Drive, Suite 120 THOUSAND OAKS 91361-1037 (805) 449-9952

4544 Thousand Oaks Dental Group-PDS 1760 E Avenida de los Arboles, Ste A THOUSAND OAKS 91362-1392 (805) 493-5200

4946 Royal Dental Spa 1459 Thousand Oaks Blvd. Bldg A THOUSAND OAKS 91362-2806 (805) 494-1831

4334 Mission Dental Group 26 S. Garden Street Suite I & J VENTURA 93001-4524 (805) 648-1090

3125 Ventura Dental Group 1001 Partridge Rd, Ste 210 VENTURA 93003-0716 (805) 644-9501

9306 Western Dental Services, Inc 2750 E. Main Street VENTURA 93003-2875 (805) 643-3556

4263 Amerident Group 6555 E. Telephone Road, Suite 8 VENTURA 93003-4460 (805) 642-2790

6941 Plaza Dental Group 4744 Telephone Road, Suite 4 VENTURA 93003-5258 (805) 653-0620

4983 Main Street Dental Group- PDS 4360 E Main St Ste C VENTURA 93003-8279 (805) 644-6110

4418 Rene Ghotanian D.D.S. 860 Hampshire Road Suite E WESTLAKE VILLAGE 91361-6032 (805) 497-2260

4948 Westlake Smile Center 3665 E. Thousand Oaks Blvd. WESTLAKE VILLAGE 91362-3606 (805) 496-3347

15179 Lindero Canyon Dental Group - PDS 5784 Lindero Canyon Road, Suite B WESTLAKE VILLAGE 91362-4088 (818) 706-0131

10533 Davis Smiles Dentistry Dental Group-PDS 4515 Fermi Place, Suite 106 DAVIS 95618-9998 (530) 750-1955

6077 South River Dental Group-PDS 2455 Jefferson Blvd, Ste 130 WEST SACRAMENTO 95691-5328 (916) 372-8062

6439 Woodland Smiles- PDS 2041 Bronze Star Drive, Ste 100 WOODLAND 95776-5428 (530) 662-7592

SUTTER COUNTY

TULARE COUNTY

VENTURA COUNTY

YOLO COUNTY

SONOMA COUNTY

STANISLAUS COUNTY

The provider directory is subject to change without notice. Languages spoken by the offices are self-reported and are not independently verified by LIBERTY Dental Plan.

If you need to access LIBERTY's free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com.