Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# OFFICE NAME 12698 9311 10394 11315 4591 13532 9333 8412 2060 4592 9314 9347 13345 13534 13533 13706 9315 7444 13308 14052 10131 9321 4593 Alameda Landing Dentistry Dental Group - PDS Western Dental Services, Inc Castro Valley Smiles Dentistry - PDS Fallon Dental Group - PDS Coast Dental of California Brookvale Family Dentistry Western Dental Services, Inc Fremont Dental Excellence Clelen Tanner, D.D.S., Inc. Coast Dental of California Western Dental Services, Inc Western Dental Services, Inc. Livermore Smiles Dentistry and Orthodontics Dental Group-PDS East Bay Family Dentistry Elegant Smile Dental Center Western Dental Services, Inc Western Dental Services, Inc Oakland Smile Center Pleasanton Ridge Dental Group and Orthodontics - PDS Eternal Dental Bernal Dental Care Western Dental Services, Inc Coast Dental of California 9329 8966 Western Dental Services, Inc Western Dental Services, Inc. 10738 9080 14284 8971 13021 12420 9100 4594 12594 9078 14245 9081 7654 6052 4595 4693 6149 4386 Alamo Smiles Dental Group - PDS Western Dental Services, Inc. Buchanan Dental Western Dental Services, Inc. Brentwood Smiles Dentistry and Orthodontics Dental Group-PDS Gentle Dental Brentwood Western Dental Services, Inc. Coast Dental of California Gentle Dental El Cerrito Western Dental Services, Inc. Pinole Modern Dentistry Dental Group-PDS Western Dental Services, Inc. Pleasant Hills Smiles Dental Group-PDS Reach Dental Care Coast Dental - San Ramon San Miguel Dental Dental Care Of Walnut Creek Mikhail Berdichevsky D.D.S. 5248 12098 Green Valley Dental Group and Orthodontics-PDS Missouri Flat Dental Group - PDS 11313 13010 4958 12566 9165 9725 13900 9357 4596 11613 11947 12481 4644 9331 9166 4956 Clovis Crossing Dental Group - PDS Western Dental Services, Inc. Coast Dental of California Ocean Dental Corp Western Dental Services, Inc. Juan J. Alzate, D.D.S., Inc. Gentle Dental Fresno Western Dental Services, Inc. Coast Dental of California Fig Garden Dental Group - PDS Champlain Dentistry Dental Group - PDS Marketplace Smiles Dentistry Dental Group - PDS Farzin Zabihi D.D.S. Inc. Western Dental Services, Inc Western Dental Services, Inc. Coast Dental of California 15145 8904 Hector A. Villarreal, DDS Western Dental Services, Inc. 14146 15213 8975 4455 Arvin Family Dentistry All Kids Dental Surgery Center Western Dental Services, Inc. G Street Family Dentistry ADDRESS ALAMEDA COUNTY 2660 5th St Ste C 115 Berkeley Square 3779 East Castro Valley Boulevard 3746 Fallon Road 36416 Fremont Blvd 39236 Argonaut Way 3055 Mowry Ave. 1895 Mowry Avenue, Suite 120 21911 Foothill Blvd. 22421 Hesperian Blvd 123 W. Jackson St 2177 Las Positas Ct. 4375 1st Street 3040 E 9th St Ste D 3301 E 12th St Ste 165 3405 International Blvd 1530 Broadway 1510 Franklin Street 6766 Bernal Avenue, Suite # 560 1491 Cedarwood Ln Suite C 3283 Bernal Avenue, Suite 108 14895 E. 14th Street, Ste 100 15301 Washington Ave BUTTE COUNTY 2471 Cohasset Rd, Ste 170 1016 Skyway Blvd CONTRA COSTA COUNTY 3000 Danville Boulevard, Suite A & B 2590 Sycamore Dr. 2219 Buchanan Rd #1 4518 Lone Tree Way 6660 Lone Tree Way, Suite 7 3150 Balfour Rd, Ste C 1821 Concord Ave 1851 Sutter St 11430 San Pablo Ave, Ste 200 11299 San Pablo Ave, Suite A 1208 Fitzgerald Dr. 2120 Railroad Road, Suite # 105 2380 Monument Boulevard, Suite F 4200 Klose Way, Ste A 9130 Alcosta Blvd, Ste A 1844 San Miguel Dr, Ste 206 1111 Civic Dr Ste145 120 LA CASA VIA STE 105 EL DORADO COUNTY 2205 Francisco Dr Ste 150 3967 Missouri Flat Rd Ste 120 FRESNO COUNTY 1095 Herndon Avenue, Suite 102 751 W. Shaw Ave 1010 Shaw Ave Ste B 1330 W Shaw Ave, Ste # 103 1255 W. Shields Ave 5640 North Fresno St Site #101 5690 N Fresno St Ste 101 3077 W. Shaw Ave 2745 W. Shaw Avenue, Suite 103 1008 W. Shaw Ave., Ste 105 1193 E Champlain Dr 6623 N Riverside Dr Ste 101 4747 N 1st Street Suite 138 4195 E. Shields Ave. 4901 E. King Canyon Rd 5657 E Kings Canyon Road, Suite 107 IMPERIAL COUNTY 2300 N. Imperial Avenue, Ste E 1450 N. Imperial Avenue KERN COUNTY 734 Bear Mountain Blvd 2525 Eye Street, Suite 100 1201 24th St Suite A 2611 G Street 4/2016 CITY ZIP PHONE ALAMEDA BERKELEY CASTRO VALLEY DUBLIN FREMONT FREMONT FREMONT FREMONT HAYWARD HAYWARD HAYWARD LIVERMORE LIVERMORE OAKLAND OAKLAND OAKLAND OAKLAND OAKLAND PLEASANTON PLEASANTON PLEASANTON SAN LEANDRO SAN LEANDRO 94501-6577 94704-1206 94552-4835 94568-7400 94536-7436 94538-1306 94538-1613 94538-1736 94541-2118 94541-7010 94544-1809 94551-1887 94551-4912 94601-2938 94601-2939 94601-3035 94612-2002 94612-2804 94566-1218 94566-6126 94566-6237 94578-2985 94579-1811 (510) 384-4000 (510) 540-8400 (510) 581-0500 (925) 803-0100 (510) 739-3889 (510) 739-0701 (510) 494-9000 (510) 494-8181 (510) 733-1455 (510) 782-4161 (510) 887-5700 (925) 273-6000 (925) 294-9288 (510) 534-0706 (510) 533-5500 (510) 469-2012 (510) 251-1000 (510) 893-1923 (925) 461-3100 (925) 202-2332 (925) 249-9242 (510) 618-1230 (510) 351-6820 CHICO CHICO 95926-1336 (530) 894-9040 95928-7129 (530) 781-1270 ALAMO ANTIOCH ANTIOCH ANTIOCH BRENTWOOD BRENTWOOD CONCORD CONCORD EL CERRITO EL CERRITO PINOLE PITTSBURG PLEASANT HILL SAN PABLO SAN RAMON WALNUT CREEK WALNUT CREEK WALNUT CREEK 94507-1572 94509-2909 94509-4200 94531-7414 94513-5310 94513-5519 94520-2348 94520-2559 94530-1969 94530-2184 94564-2252 94565-4880 94523-3972 94806-5713 94583-3847 94596-4963 94596-8229 94598-3094 EL DORADO HILLS PLACERVILLE 95762-3943 (916) 934-0207 95667-5250 (530) 642-2876 CLOVIS CLOVIS CLOVIS CLOVIS FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO FRESNO 93612-0504 93612-3217 93612-3950 93612-3985 93705-3938 93710-6098 93710-8332 93711-3220 93711-3315 93711-3723 93720-5010 93722-9308 93726-0589 93726-7025 93727-3812 93727-4653 CALEXICO EL CENTRO 92231-3209 (760) 357-1632 92243-1314 (760) 370-3950 ARVIN BAKERSFIELD BAKERSFIELD BAKERSFIELD 93203-1414 93301-2065 93301-2380 93301-2813 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. (925) 820-2688 (925) 776-1141 (925) 978-9714 (925) 529-8300 (925) 513-8363 (925) 392-4065 (925) 825-8978 (925) 827-2798 (510) 974-2035 (510) 231-0147 (510) 210-8907 (925) 439-4774 (925) 363-4455 (510) 223-8228 (925) 230-9414 (925) 279-3326 (925) 937-9017 (925) 933-9820 (559) 326-5270 (559) 323-5500 (559) 777-6113 (559) 325-6161 (559) 227-4162 (559) 447-5781 (559) 436-3470 (559) 244-5501 (559) 227-2900 (559) 227-0027 (559) 433-6427 (559) 547-3120 (559) 222-1550 (559) 243-8960 (559) 456-1600 (559) 454-7900 (661) 854-4400 (661) 325-5437 (661) 431-1120 (661) 859-0192 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 6147 5712 4590 4987 5170 8973 13639 4559 8974 4899 4901 15318 4902 4699 4905 13334 10606 4906 OFFICE NAME 17th Street Dental Care Javier Central Valley Dental Clinic Coast Dental of California Home Care Dental Centennial Dental Clinic Western Dental Services, Inc. Gouda's Family Dentistry Bakersfield Dental Group-PDS Western Dental Services, Inc. Dedicated Dental - California Center Dedicated Dental Town & Country Stockdale Smiles Dentistry and Orthodontics- PDS Dedicated Dental- Rosedale River Lakes Dental Group-PDS Dedicated Dental - Panama Gosford Village Dental Group and Orthodontics-PDS Western Dental Services, Inc. Dedicated Dental - Valley 9358 9359 Western Dental Services, Inc. Western Dental Services, Inc. 2095 9613 2097 4345 9101 7364 5098 2105 2107 2109 12185 15251 6307 10485 5005 11609 13990 6712 7765 7877 2118 6902 4964 4764 6731 9574 4684 9073 3628 4397 9862 4619 12742 5987 4324 2135 2137 4814 4460 10159 4732 9099 8563 5852 13563 6756 2156 6332 4483 2160 12749 4624 Sea Breeze Dental Care Agape Dental Alhambra Garfield Dental Dental Group of Arcadia Arcadia Dental Group Live Oak Dental Santa Anita Dental Group-PDS Osborne Dental Office Sima Boostanfar, D.M.D. Sioe Hwa Ong, D.D.S., Inc. Michael Danial DMD Inc St. John Dental James Ahn DDS Apple Dental West Coast Dental Group of Baldwin Park Comfort Dental Group San Jose Young Dental Group Frank Cho, DDS Antranig Gary Kelleyan, DDS Total Dental Care & Orthodontics Gage Family Dental Group Dental and Implant Care Center Bell Plaza Dental Center F Michael Yerbi D.D.S. Grace Dentistry, Inc Gardens Dental Group Rosecrans Dental Group Western Dental Services, Inc. Dr. Lim Dental California Dental Group Of Bellflower Smile Center Dental Group Coast Dental of California Smile Wide Dental Care 90210 Robert N Abdi D.D.S. Pacific Dental Care American Dental Group Dental Group of Beverly Hills Burbank Glendale Dental Group Burbank Glendale Dental Group Empire Dental Group-PDS Western Dental Services, Inc. Calabasas Dental Institute Omega Dental Group White Smile Dental Group Cosmeticare Latin Dental Center Abolghasem Sinai DDS Westside Dental Care Canyon Country Family Dentistry Smile Wide Coast Dental of California ADDRESS ALAMEDA 1621 17th Street COUNTY 1415 Brundage Lane 2750 Ming Ave 5917 Niles St Ste 3 201 China Grade Loop 3401 Coffee Rd Ste A 5452 California Ave 5120 Stockdale Highway, Suite D 4401 Ming Ave 3400 Wible Rd 8200 Stockdale Hwy, Suite M-9 11120 Stockdale Hwy, Suite 103 9600 Rosedale Hwy, Ste A 9510 Hageman Rd, Suite B 3150 Panama Ln, Suite I 5353 Gosford Road, Suite # 103 730 Woollomes Ave 20300 Valley Blvd, Ste A KINGS COUNTY 1560 W Lacey Blvd, Ste 107 210 N. 11th Ave, Ste 101 LOS ANGELES COUNTY 29525 Canwood St, Ste 200 330 North Garfield Avenue Suite 2 747 S. Garfield Ave 440 E Huntington Dr, Ste 101 111 E. Live Oak Ave 288 E. Live Oak Ave, Ste C 721 W. Huntington Drive Suite B 13205 Osborne, Suite F 9069 1/2 Woodman Ave 17906 S. Pioneer Blvd., Ste 100 483 S Citrus Ave 910 E Gladstone Street 315 E Gladstone Street 891 E. Arrow Highway, Suite B 4000 La Rica Ave, Ste D 14330 Ramona Blvd 14514 Ramona Blvd Ste 1 13020 Francisquito Avenue, Suite 7 13734 Ramona Blvd 3060 Baldwin Park Blvd, Ste D100 4127 E Gage Ave 4203 Gage Avenue 6343 Atlantic Ave, Suite C 3464 E Gage Ave 6501 Eastern Avenue, Suite B 7218 Garfield Avenue Ste B 9222 E. Rosecrans Ave. 9755 Alondra Blvd 10120 Alondra Blvd. 10106 Alondra Boulevard, Suite A 16542 Bellflower Blvd #100 17240 Downey Ave 17660 Lakewood Blvd 416 North Bedford Drive #103 9301 Wilshire Blvd. # 407 9025 Wilshire Blvd., Suite 315 50 N. La Cienega Blvd., Suite 206 8641 Wilshire Blvd Ste 125 500 E Olive Ave. Ste 430 216 East Alameda Avenue 1635 North Victory Pl 1107 N. San Fernando Blvd 4764 Park Granada, Suite 107 21712 Sherman Way 21601 Vanowen Street, Suite 100 21123 Victory Boulevard 21001 Sherman Way Suite #13 7257 Vassar Avenue #203 20832 Roscoe Blvd, Suite 101 18507 Soledad Canyon Road 172 E. Carson St 550 E. Del Amo Blvd 4/2016 CITY BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD DELANO TEHACHAPI ZIP 93301-4300 93304-3114 93304-4431 93306-4695 93308-1707 93308-5080 93309-1618 93309-2673 93309-4817 93309-6507 93311-1029 93311-3656 93312-2101 93312-3953 93313-3730 93313-4969 93215-9552 93561-8609 HANFORD HANFORD 93230-3587 (559) 589-6301 93230-4591 (559) 585-2170 AGOURA HILLS ALHAMBRA ALHAMBRA ARCADIA ARCADIA ARCADIA ARCADIA ARLETA ARLETA ARTESIA AZUSA AZUSA AZUSA AZUSA BALDWIN PARK BALDWIN PARK BALDWIN PARK BALDWIN PARK BALDWIN PARK BALDWIN PARK BELL BELL BELL BELL BELL GARDENS BELL GARDENS BELLFLOWER BELLFLOWER BELLFLOWER BELLFLOWER BELLFLOWER BELLFLOWER BELLFLOWER BEVERLY HILLS BEVERLY HILLS BEVERLY HILLS BEVERLY HILLS BEVERLY HILLS BURBANK BURBANK BURBANK BURBANK CALABASAS CANOGA PARK CANOGA PARK CANOGA PARK CANOGA PARK CANOGA PARK CANOGA PARK CANYON COUNTRY CARSON CARSON 91301-4230 91801-2400 91801-4438 91006-3750 91006-5240 91006-5640 91007-6734 91331-4083 91331-6463 90701-3972 91702-4734 91702-4747 91702-4928 91702-5868 91706-3163 91706-3241 91706-3361 91706-3753 91706-4021 91706-4704 90201-1128 90201-1212 90201-1218 90201-2131 90201-3003 90201-4812 90706-2140 90706-3677 90706-3904 90706-3904 90706-5417 90706-6105 90706-6410 90210-4308 90210-6141 90211-1827 90211-2246 90211-2900 91501-2171 91502-1508 91502-1645 91504-4331 91302-3322 91303-1931 91303-2752 91303-2828 91303-3680 91303-4409 91306-2069 91351-3722 90745-2702 90746-3314 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. PHONE (661) 631-0529 (661) 323-0076 (661) 396-1701 (661) 366-6527 (661) 393-4333 (661) 587-3512 (661) 322-2300 (661) 324-5442 (661) 397-7400 (661) 835-8672 (661) 834-9042 (661) 665-0080 (661) 589-5248 (661) 829-2700 (661) 396-0156 (661) 588-2065 (661) 370-4385 (661) 822-1134 (818) 991-9852 (626) 282-2452 (626) 289-6815 (626) 447-5126 (626) 445-1181 (626) 898-0008 (626) 574-1766 (818) 890-2426 (818) 893-8799 (562) 860-9612 (626) 966-3400 (626) 332-3000 (626) 969-6728 (626) 332-4788 (626) 430-9171 (626) 856-5400 (626) 337-4700 (626) 962-9474 (626) 960-6616 (626) 813-4488 (323) 773-2931 (323) 312-0500 (323) 771-7226 (323) 582-2292 (323) 773-2082 (562) 927-4110 (562) 272-0222 (562) 925-2397 (562) 920-6644 (562) 867-5117 (562) 866-7073 (562) 531-0221 (562) 461-1180 (310) 278-9624 (310) 271-3225 (310) 274-7485 (310) 659-7949 (310) 271-3003 (818) 567-4662 (818) 848-3026 (818) 565-0057 (818) 531-0885 (818) 224-2420 (818) 430-9288 (818) 887-0260 (818) 888-2700 (818) 346-7032 (818) 251-9794 (818) 998-7645 (661) 252-0020 (310) 618-1522 (310) 515-5672 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 8735 4726 6480 2171 6986 13292 12026 9035 9082 9992 2178 4256 7781 6474 5739 2186 4780 6952 13344 4791 8056 13165 6759 13582 10167 4289 4626 11544 9112 8024 12596 13887 4672 4285 6921 2207 2208 9054 3677 8057 9876 4462 4448 13257 2214 4890 6302 2217 3632 6084 4759 4760 9497 11936 2223 5742 15275 12665 10168 4493 10297 5475 12866 5523 5147 5030 13063 13954 7482 5976 5818 6039 4779 15327 13555 OFFICE NAME Castaic Dental Center Hasley Canyon Dental Group-PDS Cerritos Towne Center Dentistry Devonshire Plaza Dental Group Future Dental Care Valley Dental Claremont Modern Dentistry Dental Group - PDS Western Dental Services, Inc. Western Dental Services, Inc. Golden State Dental Group Compton Family Dental Center Dental Group Of Covina Covina Dental Arts and Orthodontics College Street Family Dentistry Ahmed Saeed, DDS, Inc. St. James Dental Group Culver City Family Dentistry Dental Studio of Culver City Golden Springs Family Dentistry Edward H Mousally D.D.S. Diamond Bar Smiles-PDS Diamond Dental Group Quality Dentistry with a Soft Touch Downey Dental Center Dr. Zak Downey Dental Care Soheir S Azer, D.D.S. Coast Dental of California Dental Pro Western Dental Services, Inc. Cheng and Kim, DDS Downey Smile Center Downey Promenade Dental Group - PDS Ying Wu D.D.S., Inc. Shahriyar Behjou Dental Corporation Sunshine Dental Group Victor A. Martin, D.D.S. Family Dentistry Western Dental Services, Inc. Khan Dental Corportion Peck Road Dental Care Alfonso Martinez D.D.S. American Dental Office Atlas Dental Care Bella Dental Dental Dreams Encino Dental Esthetics Encino Cosmetic Dental Group Encino Family Dental Group Dan Rosen, D.D.S. Sunny Smile Dental Center Yampolsky Dental A Professional Corporation City Dental Center West Dental Care Armen Manssourian, D.M.D. Alenoush Bagdasaryan, D.D.S. Melineh Arakelian, DDS Town Center Dentistry Glendale Dental Arts Center Irina M. Sahaki D.D.S., Inc. Glendora Dental Center New Vision Dental Glendora Smiles Dentistry and Orthodontics Dental Group-PDS Foothill Family Dental Group Dr. Soliman Dental Office Balboa Dental Group-PDS Angela Hoffman DDS, Inc Comfort Smile Family Dentistry Hacienda Heights Family Dentistry Dr. Viola Iskarous Tricity Smiles Dentistry and Orthodontics Dental Group- PDS Bay Harbor Dental Office Daily Dental Group Santa Maria Dental Office Choice Dental Group - Hawthorne Comfort Dental Center ADDRESS COUNTY 31886ALAMEDA North Castaic Road 29655 The Old Road 17550 Bloomfield Ave, Ste C 10230 Canoga Avenue 10242 Canoga Avenue 17595 Almahurst Street, Suite 101-2 405 W Foothill Blvd Ste 104 740 S. Indian Hill Blvd, Ste # B 1821 N. Long Beach Blvd 1601 North Long Beach Boulevard 2001 E Compton Blvd 1406 N. Azusa Ave, Suite C 558 West Badillo Street 153 West College Street 661 South 2nd Avenue 7607-9 Atlantic Avenue 4909 S Sepulveda Blvd 10119 Washington Boulevard 23341 Golden Springs Drive, Suite #206 23525 Golden Springs Dr Suite C 2841 South Diamond Bar Boulevard, Suite B 20657 Golden Springs Drive, Suite #207 8485 Florence Avenue 8515 Florence Ave., Ste. #200 10501 Lakewood Blvd, Suite A&B 10800 PARAMOUNT BLVD STE 307 9474 Firestone Blvd 12156 Lakewood Blvd 9906 E. Imperial Hwy 8029 East Imperial Highway 8301 Imperial Hwy 8998 Apollo Way 12651 Lakewood Blvd #101 10755 Lower Azusa Road, Suites B,C,D 4161 Tyler Avenue 3564 Santa Anita Avenue, Suite F 9060 TELSTAR AVE STE 206 11450 Valley Blvd 4900 N Peck Road 3913 North Peck Road 11733 East Valley Boulevard, Suite A 12220 E Valley Blvd Ste. D&E 2732 Santa Anita Ave 10811 East Garvey Avenue 5363 Balboa Blvd. #346 17525 Ventura Blvd Suite 100 16133 Ventura Blvd #1100 15720 Ventura Blvd., Suite 322 16542 Ventura Blvd., Suite 505 1600 W. Redondo Beach Blvd #203 1210 W Redondo Beach Blvd 1300 W 155th St Suite 208 1127 North Pacific Avenue 1122 N. Brand Blvd, Ste # 102 457 PALM DR STE 100 411 N. Central Avenue, Suite 120 316 E Broadway, Suite A 814 E Broadway St 520 E. Broadway, Suite 402 610 E. Route 66 1814 E. Route 66, Suite B 605 West Route 66 210 S. Grand Ave Ste 420 150 S. Grand Ave, Ste F 11850 1/2 Balboa Blvd. 16917 Devonshire St 15724 East Gale Avenue 2545 S. Hacienda Blvd 2440 S. Hacienda Blvd, Suite 233 17188 E. Colima Rd, Ste B 1537 W. Lomita Blvd 11633 Hawthorne Blvd, Ste 502 11938 S Hawthorne Blvd 12730 Hawthorne Blvd, Suite D 4277 W. El Segundo Blvd. 4/2016 CITY CASTAIC CASTAIC CERRITOS CHATSWORTH CHATSWORTH CITY OF INDUSTRY CLAREMONT CLAREMONT COMPTON COMPTON COMPTON COVINA COVINA COVINA COVINA CUDAHY CULVER CITY CULVER CITY DIAMOND BAR DIAMOND BAR DIAMOND BAR DIAMOND BAR DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY DOWNEY EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE EL MONTE ENCINO ENCINO ENCINO ENCINO ENCINO GARDENA GARDENA GARDENA GLENDALE GLENDALE GLENDALE GLENDALE GLENDALE GLENDALE GLENDALE GLENDORA GLENDORA GLENDORA GLENDORA GLENDORA GRANADA HILLS GRANADA HILLS HACIENDA HEIGHTS HACIENDA HEIGHTS HACIENDA HEIGHTS HACIENDA HEIGHTS HARBOR CITY HAWTHORNE HAWTHORNE HAWTHORNE HAWTHORNE 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. ZIP 91384-3946 91384-4570 90703-8584 91311-3007 91311-3007 91748-9909 91711-2786 91711-5400 90221-1203 90221-1610 90221-3548 91722-1257 91722-3762 91723-2008 91723-3518 90201-5019 90230-5264 90232-3147 91765-2054 91765-2175 91765-3473 91789-9387 90240-3918 90240-4043 90241-2709 90241-3324 90241-5504 90242-2658 90242-3207 90242-3713 90242-3830 90242-4030 90242-4563 91731-1300 91731-1966 91731-2458 91731-2800 91731-3230 91732-1422 91732-2244 91732-3073 91732-3149 91733-2262 91733-2301 91316-2836 91316-5100 91436-2415 91436-2993 91436-4576 90247-3228 90247-3411 90247-4061 91202-2358 91202-2570 91202-3221 91203-2020 91205-1011 91205-4554 91205-4912 91740-3507 91740-3869 91741-4122 91741-4294 91741-4720 91344-2753 91344-7407 91745-1518 91745-4706 91745-4744 91745-6787 90710-2024 90250-2369 90250-3016 90250-3919 90250-4548 PHONE (661) 257-2300 (661) 702-8338 (562) 809-4464 (818) 341-8400 (818) 882-5252 (626) 965-7445 (909) 626-1236 (909) 625-1446 (310) 639-4300 (310) 639-5000 (310) 639-7970 (626) 858-9940 (626) 331-0506 (626) 339-9085 (626) 966-3571 (323) 771-7254 (310) 313-3100 (310) 202-9009 (909) 396-7774 (909) 860-9399 (909) 860-6232 (909) 595-8288 (562) 869-2091 (562) 869-4532 (562) 862-2341 (562) 923-3714 (562) 803-4224 (562) 803-1600 (562) 940-6463 (562) 862-6979 (562) 862-5777 (562) 441-7212 (562) 904-1150 (626) 448-2040 (626) 579-4274 (626) 401-9808 (626) 571-5975 (626) 575-5850 (626) 579-5158 (626) 350-1111 (626) 575-7565 (626) 401-2554 (626) 444-2605 (626) 442-6115 (818) 990-3551 (818) 784-7832 (818) 906-2222 (818) 788-7060 (818) 907-6736 (310) 808-0198 (310) 523-9009 (310) 715-2723 (818) 551-1127 (818) 242-2667 (818) 956-3733 (818) 956-7137 (818) 548-7700 (818) 241-1160 (818) 241-2424 (626) 335-7727 (626) 963-7000 (626) 771-1320 (626) 963-3322 (626) 914-3150 (818) 360-1946 (818) 360-0957 (626) 333-5244 (626) 961-1574 (626) 968-0052 (626) 581-7878 (310) 530-5252 (310) 644-4464 (310) 973-0945 (310) 644-4000 (310) 970-0900 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 4963 13817 14202 11896 4420 9295 15432 4481 3623 13754 4761 11200 9034 6966 4844 4872 7457 5798 9204 5789 13952 11692 4837 FQHC013622 13284 10296 4737 13790 6297 5715 5806 8404 13697 8598 10580 10272 4206 9060 8774 2286 4546 4139 13576 12319 4685 8486 13191 2298 13742 3919 6784 10568 4628 13655 3613 9294 4782 13343 6035 9950 15281 5009 13494 3960 5680 5028 12743 13325 4682 12814 6280 2317 10523 4669 12744 OFFICE NAME LA Dental Care Blue Dental Group Dr. Michael Hoang, DMD General Dentist Eyvazi Dental Corp. Hawthorne Dental Western Dental Services, Inc. Hermosa Smiles Dentistry-PDS Edmond Janfaza D.D.S. Bellgrave Family Dental Group Huntington Park Family Dental Your Choice Dental Hamid Imankhan, DDS, Inc. Western Dental Services, Inc. Gary Garoian, DDS, Inc. Kids & Adult Dental Care Huntington Family Dental Eduardo W. Servan Diaz Binafard Dental Land Comprehensive Dental Care Raymont H Johnson DDS The Children's Dental Center Western Dental Services, Inc. John Benlavi, D.M.D. T.H.E. Health and Wellness Centers Lax Dental Group La Canada Smiles Dentistry Dental Group - PDS Crescenta Family Dental New Age Dental Vahag Mehrabian Gad Professional Dental Corp. La Mirada Family Dental La Mirada Community Dental Office Imperial Dental Fairgrove Dental Center Clinica Dental Del Sol David Chou, D.D.S., American Dental Care Smileswest Western Dental Services, Inc. Puente Family Dental Care Dr. Pharar's Dental Office La Verne Dental Group -PDS Dental Care of La Verne Pravinchandra Makadia DDS New Smile Dental Lakewood Plaza Dental Candlewood Smiles Dental Group-PDS Lakewood Family Dental Group Lakewood Family Dentistry Elite Dental Care Family Dental Practice of Lancaster Golden Dental Premier Dental Care Coast Dental of California Lancaster Modern Dentistry Dental Group-PDS Hi Desert Dental Center Western Dental Services, Inc Lancaster Dental Care Associates Hanna Dentistry A Dentistry Western Dental Services, Inc. Long Beach Dental Bashar Komoc, DDS Bharat C. Bhatt D.D.S. Family Dentistry United Family Dental Omega Family Dental Smile Wide National Dental Long Beach Family Dental Group Western Dental Services, Inc. Victor De Los Santos DDS Maged Z. Nessim, D.D.S. Dr. Zak Long Beach Dental Care ACCU Dental Group Smile Wide ADDRESS 12820ALAMEDA InglewoodCOUNTY Ave. 12923 Inglewood Ave #3 13672 Hawthorne Blvd 13624 Hawthorne Blvd Ste 205 13935 S. Hawthorne Blvd. 14248 Hawthorne Blvd 1559 Pacific Coast Highway, Suite 101 2675 East Slauson Avenue, Suite 300 6011 Pacific Blvd., Suite 120 2711 East Slauson Avenue 6601 Rugby Ave Suite 400 2634 Clarendon Avenue 2630 E Gage Avenue 2680 Saturn Ave Ste 180 2625 E Florence Ave Ste C 2542 E Florence Ave Suite A 6615 Seville Avenue 7136 Pacific Blvd, Ste 210 141 N. Prairie Ave 808 E. Manchester Blvd. 300 East Buckthorn St 3561 W. Century Blvd, Ste D 2798 W IMPERIAL HWY 10223 Firmona Ave 4201 West Century Boulevard 2220 Foothill Boulevard, Suite A 2644 Foothill Blvd. 14545 East Telegraph Road 15071 E. Imperial Highway 12252 La Mirada Blvd. 13922 Imperial Highway 14930 E. Imperial Hwy, Suite D 15769 E. Imperial Hwy 15260 East Fairgrove Avenue 1431 N. Hacienda Boulevard 1206 North Hacienda Boulevard 15448 E Amar Rd 835 N. Hacienda Blvd 864 N Hacienda Blvd 17311 E. Valley Blvd., Suite B 2216 Foothill Blvd 2323 Foothill Blvd. 1457 Foothill Blvd 361 Railroad Canyon Rd, Ste # A 4346 South St. 4443 Candlewood Street 5203 Lakewood Boulevard, Suite A 11455 E. Carson Street, Suite E 44439 N. 17th St West, Ste 201 44558 10th Street West 803 West Avenue J 43845 10th Street West, Suite 1A 1228 West Avenue K 43531 10th St West 1745 W. Avenue K, Suite C 44407 Challenger Way 2030 West Ave J 14314 Hawthorne Boulevard 1816 Lomita Blvd 1929 Pacific Coast Hwy, Unit A 308 Orange Avenue 3318 E. Anaheim Street 6081 Atlantic Ave 5399 Orange Avenue 141-P E. WiIllow Street 816 W. Willow Street 2360 Pacific Ave 2407 Atlantic Avenue 2006 Long Beach Blvd., Ste. E 4516 Atlantic Ave 3712 Atlantic Avenue Suite C 3440 ATLANTIC AVE STE 2A 3620 Long Beach Boulevard, Suite B6 6413 E Spring St 3325 E. Palo Verde, Ste #208 4/2016 CITY HAWTHORNE HAWTHORNE HAWTHORNE HAWTHORNE HAWTHORNE HAWTHORNE HERMOSA BEACH HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK HUNTINGTON PARK INGLEWOOD INGLEWOOD INGLEWOOD INGLEWOOD INGLEWOOD INGLEWOOD INGLEWOOD LA CANADA FLINTRIDGE LA CRESCENTA LA MIRADA LA MIRADA LA MIRADA LA MIRADA LA MIRADA LA MIRADA LA PUENTE LA PUENTE LA PUENTE LA PUENTE LA PUENTE LA PUENTE LA PUENTE LA VERNE LA VERNE LA VERNE LAKE ELSINORE LAKEWOOD LAKEWOOD LAKEWOOD LAKEWOOD LANCASTER LANCASTER LANCASTER LANCASTER LANCASTER LANCASTER LANCASTER LANCASTER LANCASTER LAWNDALE LOMITA LOMITA LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH 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. ZIP 90250-5118 90250-5139 90250-5810 90250-5818 90250-7001 90250-7008 90254-3214 90255-2926 90255-2959 90255-3002 90255-4046 90255-4120 90255-4122 90255-4568 90255-4756 90255-4774 90255-4801 90255-7620 90301-1904 90301-1914 90301-3418 90303-1226 90303-3111 90304-1421 90304-4161 91011-1413 91214-3510 90638-1054 90638-1302 90638-1306 90638-1725 90638-2100 90638-2510 91744-1067 91744-1133 91744-1630 91744-2802 91744-2809 91744-2847 91744-5696 91750-2944 91750-3027 91750-3451 92532-4455 90712-1152 90712-1736 90712-2438 90715-2581 93534-2856 93534-3333 93534-3426 93534-4800 93534-5922 93534-6005 93534-6504 93535-3237 93536-5913 90260-1515 90717-1906 90717-2647 90802-3536 90804-4025 90805-3012 90805-6017 90806-2634 90806-2837 90806-3051 90806-3221 90806-4958 90807-1513 90807-3542 90807-4568 90807-6008 90808-4022 90808-4132 PHONE (310) 349-1980 (310) 263-1030 (310) 644-5097 (310) 856-6574 (310) 973-6428 (310) 978-2973 (310) 372-7686 (323) 589-3391 (323) 584-6777 (323) 582-4474 (323) 585-1515 (323) 585-2777 (323) 587-1788 (323) 560-4658 (323) 277-9191 (323) 582-0755 (323) 581-1010 (323) 585-1000 (310) 330-0080 (310) 671-1234 (310) 419-3000 (323) 483-7041 (323) 418-8888 (323) 730-1920 (310) 981-9000 (818) 248-1021 (818) 248-9988 (562) 777-1188 (562) 947-7000 (562) 943-0151 (562) 926-7025 (562) 777-1234 (562) 902-9898 (626) 968-4733 (626) 919-2315 (626) 917-8630 (626) 810-8222 (626) 333-3384 (626) 333-8166 (626) 810-2444 (909) 392-3899 (909) 596-1861 (909) 593-6161 (951) 471-1400 (562) 408-3500 (562) 634-5042 (562) 531-7373 (562) 860-7116 (661) 723-1461 (661) 723-1111 (661) 948-8100 (661) 948-9646 (661) 949-1970 (661) 839-7630 (661) 723-5400 (661) 341-3100 (661) 949-6757 (310) 676-6400 (310) 326-4117 (310) 602-7092 (562) 436-4214 (562) 986-5570 (562) 422-6003 (562) 422-9698 (562) 988-2888 (562) 595-7077 (562) 595-0731 (562) 981-1000 (562) 218-6575 (562) 495-6237 (562) 426-1298 (562) 424-0724 (562) 426-6458 (562) 938-8388 (562) 429-1642 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 4762 10560 9032 5134 9296 13455 4767 6516 10566 9332 13342 9114 4976 7527 4763 4800 9239 5809 4998 10113 4778 5041 9085 8416 FQHC10140 8645 6513 2343 2345 9260 FQHC013855 7589 12746 12288 4932 4447 5464 2347 13558 6292 4967 11941 FQHC014201 9056 4789 4203 6340 13020 6407 13442 6883 4486 9860 13747 13602 9896 4204 4815 5796 2364 10567 4416 12745 FQHC9516 2365 4640 4687 9052 4968 6070 6064 9229 13746 4185 13787 OFFICE NAME Family Dental Care Mariana Basha, D.D.S., Inc. Western Dental Services, Inc. Long Beach Dental Group West Coast Dental Group of Long Beach West Coast Dental Group of Gage Florence Compton Dental Florence Dental Group Edward Lopez American Dental Western Dental Services, Inc. David Shabanzadeh, D.D.S., Inc Western Dental Services, Inc. Alegria Dental Center Green Dental F Michael Yerbi D.D.S. La Paz Medical Clinic Western Dental Services, Inc Normandie Dental Clinic Crystal Dental West Coast Dental of Los Angeles Nelson E Walker III D.D.S. Wilshire Center Dental Group Western Dental Services, Inc. Chinatown Dental Center JWCH Institute, Inc. Pico Dental Group Dental Center of San Miguel Centro Medico & Dental Familiar Dr Black's Crenshaw Professional Dental Center La Brea Family Dental Group T.H.E. Health and Wellness Centers West Coast Dental Group of 6th Street Smile Wide Metrohealth Station, P.C. Smile With Us Keromina Dental East Los Angeles Family Dentistry Prakash A. Joshi, D.D.S. Dr. Namian Family Dentistry United Family Dental Group West Coast Dental of East Los Angeles Ark Dental Bienvenidos Community Health Center Western Dental Services, Inc. Whittier Dental Group Regala Family Dentistry Jonathan C Yeung DDS Smile Dental Westwood Dental Care Angeleno Smiles Michael A. Schneider, DMD & Associates Fred Nayssan D.D.S. Sunset Family Dentistry Hollywood-Vine Dental Office Sami Y. Nouhad, D.D.S. White Plus Dental Dental Pros RaminTour D.D.S. Byung Kim Dentist Arturo Ibarra, D.D.S. Edward Lopez, D.D.S., American Dental Anthony S. Pan, D.M.D. Smile Wide Clinica Msr. Oscar A. Romero Boyle Heights Family Dentistry William Ginzburg Beverly Hills Prestige Dental Group Western Dental Services, Inc. Shenouda F. Gewaid DDS Vernon Family Dental Total Dental Care & Orthodontics Western Dental Services, Inc Santa Monica Family Dental Dr Tsolakyan Dental Office At Water Dental Group ADDRESS ALAMEDA 1327 Long Beach COUNTY Blvd 1183 E. Anaheim St 1150 East Anaheim St. 659 Redondo Ave. 1835 Ximeno Ave 1423 East Gage Avenue, Suite A 7110 S Compton Ave 1575 E. Florence Ave, Ste A 2033 E. Florence Avenue 355 W. Manchester Ave. 326 North Vermont Avenue, Suite #B 4165 West Beverly Blvd 4214 W. Beverly Boulevard, Suite 208 & 209 3054 West 8th Street, Suite #106 2527 W Pico Blvd 1107 S Alvarado St, Suite 102 1565 S. Western Ave 1690 W. Adams Blvd 2206 S. Figueroa St 2604 S. Vermont Ave, Ste F 3756 Santa Rosalia Dr, Suite 420 3932 Wilshire Blvd, Ste #100 4364 South Central Ave 630 West College Street 522 S. San Pedro Street 1561 West Pico Boulevard 115 E. Washington Blvd Suite C 514 E. Washington Blvd. 3015 Crenshaw Blvd. 3400 S. La Brea Ave. 3721 S. La Brea Ave 1725 W. 6th St 1111 W 6th St, Ste # 120 3501 W Jefferson Blvd 5417 Venice Blvd 4777 Fisher Street 2nd Floor 4410 East Whittier Boulevard 4545 3rd St, Suite 108 609 S. Atlantic Blvd. 5109 E. Whittier Boulevard 5162 Whittier Blvd 6046 Whittier Blvd 501 S. Woods Ave 906 South Soto Street 2901 E Whittier Blvd Suite D 4065 Whittier Blvd., Suite 201 1148 S. Rowan Avenue #1 3356 East Olympic Boulevard 10921 Wilshire Boulevard, Suite 601 10921 Wilshire Boulevard, Suite 510 10921 Wilshire Boulevard, Suite 809 10350 Santa Monica Blvd #190 2613 West Sunset Boulevard 5280 Hollywood Blvd. 7080 Hollywood Blvd., #817 1075 North Western Avenue, Suite 102 1018 1/2 North Vermont Avenue 907 N Virgil Ave 765 North Virgil Ave. 2407 N. Broadway 2716 N. Broadway, Suite 214 3346 N Eastern Ave. 2839 N. Eastern Ave 2032 Marengo Street 2110 Cesar E. Chavez Avenue 3130 S Sepulveda Blvd D 1125 S. Beverly Dr., Ste. 400 1200 W. Martin Luther King Boulevard 231 W. Vernon Ave Suite 107 968 W. Vernon Ave 5703 S. Vermont Ave 6260 Santa Monica Blvd 5828 Santa Monica Blvd 3161 Los Feliz Blvd. 3119 Glendale Blvd. 4/2016 CITY LONG BEACH LONG BEACH LONG BEACH LONG BEACH LONG BEACH LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES 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. ZIP 90813-3226 90813-3662 90813-3663 90814-1454 90815-2850 90001-1771 90001-2528 90001-2555 90001-2754 90003-3327 90004-3511 90004-4418 90004-4429 90005-1895 90006-4003 90006-4161 90006-4233 90007-1535 90007-2049 90007-2298 90008-3614 90010-3307 90011-3527 90012-1616 90013-2102 90015-2407 90015-3606 90015-3723 90016-4264 90016-5217 90016-5309 90017-1000 90017-1823 90018-3237 90019-5163 90022-1301 90022-1531 90022-1656 90022-3211 90022-3926 90022-3932 90022-4402 90022-9998 90023-1323 90023-1533 90023-2557 90023-3359 90023-3724 90024-3906 90024-4001 90024-4003 90025-5073 90026-3905 90027-4913 90028-6935 90029-2346 90029-2620 90029-2911 90029-3646 90031-2218 90031-2635 90032-1948 90032-2701 90033-1319 90033-1823 90034-4214 90035-1152 90037-1722 90037-2778 90037-3039 90037-3930 90038-1704 90038-2002 90039-1522 90039-1805 PHONE (562) 218-5555 (562) 912-4367 (562) 435-3390 (562) 439-0494 (562) 453-1111 (323) 983-4000 (323) 585-5588 (323) 537-4121 (323) 583-8896 (323) 751-4100 (323) 661-2626 (323) 662-0738 (213) 384-8400 (213) 384-2864 (213) 380-2426 (213) 380-9999 (323) 734-8843 (323) 730-0924 (213) 748-8448 (323) 731-3333 (323) 290-5340 (213) 386-3336 (323) 232-5266 (213) 626-7311 (213) 486-4077 (213) 251-9994 (213) 234-5530 (213) 749-3934 (323) 731-0801 (323) 734-2284 (323) 730-1920 (213) 413-5151 (213) 895-0009 (323) 730-1205 (323) 634-9950 (323) 268-3395 (323) 881-0881 (323) 780-0189 (323) 980-9768 (323) 265-2222 (323) 415-6161 (323) 726-3204 (323) 747-6755 (323) 263-9063 (323) 526-1992 (323) 268-3877 (323) 267-1622 (323) 269-5221 (310) 208-8551 (310) 824-2624 (310) 208-6813 (310) 557-1704 (213) 484-1845 (323) 469-9169 (323) 466-3541 (323) 466-4567 (323) 953-7700 (323) 661-8384 (323) 665-5887 (323) 221-3165 (323) 221-5931 (323) 227-1800 (323) 987-1020 (323) 987-1419 (323) 268-8308 (310) 268-0646 (310) 286-7447 (323) 295-8004 (323) 233-5906 (323) 234-4889 (323) 751-5600 (323) 465-9055 (323) 871-9191 (323) 663-2606 (323) 660-5186 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 4766 6800 4329 3637 9109 14205 2381 4629 9557 FQHC9157 2393 13780 5082 7450 2392 4719 2397 3641 3634 2399 9119 4816 6773 2403 4857 3921 12747 5718 2410 9043 4631 7449 9795 7944 13279 8750 6960 11830 4630 9899 6920 13291 6080 8515 13613 FQHC014331 8055 2420 12170 6938 5087 13488 2429 4296 9231 5246 13500 13493 4769 4278 4551 6173 12629 3980 6926 6398 4459 14276 13439 2437 9920 5736 2447 7935 6826 OFFICE NAME Highland Family Dental Group Mervat S. Bakhoum, DDS Dental Center of Highland Park Devang M. Gandhi Dental Corp. Vermont Dental Care John M. Legaspi DMD A Prof Corp Airport Center Family Dental Coast Dental of California Wilshire Dental Group, Irina Sumenko, D.D.S., Inc. Clinica Msr. Oscar A. Romero Professional Dental Care McArthur Park Dental Office Dr. Aram Arakelyan, DDS Dr. Song, 8th and Alvarado Family Dental Group Dan P. Benyamini, DDS, Inc. Dental Central Group Cheryl D. Bingham, D.D.S. Arturo Ibarra, D.D.S. Cypress Dental Clinic San Fernando Family Dental Western Dental Services, Inc. Venice Dental Group Villacis Dental Corporation Culver Del Rey Dental Center West Coast Dental Group Lynwood Smileswest Smile Wide Marina Dentistry Southeast Dental Group Western Dental Services, Inc. Coast Dental of California West Coast Dental of Monrovia Dental Care 2000 Plus Monrovia Modern Dentistry Dental Group-PDS Foothill Dental Center Montebello Dental Group Sky Dental Western Dental Services, Inc. Coast Dental of California Comfort Dental Group David's Family Dentistry & Orthodontics Tigran Hovhannisyan, DDS Noushin Adhami, DDS Montebello Family Dental A. Gary Kelleyan, DDS Chinatown Service Center Golden Dragon Family Dentistry Beautiful Smile Dental Group Atlantic Pacific Smile Dental Group Gabriel Henao, DDS Family Dentistry West Coast Dental Group of North Hills Ashok R. Gandhi, D.D.S. Gershfield Family Dental Hersel Hanasab DDS Inc. Western Dental Services, Inc Sevak Elyaspoor D.D.S. Family Dentistry Pacific Dental Group Aben Veinberg, D.D.S. Daniel Boudaie D.D.S. Hamlin Dental Group Northridge Dental Office and Orthodontics-PDS Shahram Nouri, DDS Comfort Dental Group Hamlin Dental Group General and Cosmetic Dentistry Homa Shahriari DDS Paddison Dental Group Bhavi Shah, DDS, Inc. Alvand Zinabadi, DDS, Inc Pioneer Dental, Inc. Norwalk Dental Associates Norwalk Family Dental Kishore Shah, D.D.S. Wael H. Obeid, D.D.S. Paradise Dental Group ADDRESS ALAMEDA COUNTY 5740 1/2 York Boulevard 5540 N. Figueroa Street 5807 N. Figueroa Street 2500 W Florence Ave 8914 South Vermont Avenue 600 W. Manchester Blvd #2 5304 W. Century Boulevard 1440 W Manchester Ave 6200 Wilshire Boulevard Suite 1104 123 South Alvardo Street 201 S. Alvarado Street, Suite 402 2007 Wilshire Blvd Ste # 525 2426 West 8th Street Ste#209 824 S. Alvarado Street 1826 W. 7th Street 1919 W 7th Street 11905 S. Central Avenue, Suite 203 3604 E. 1st Street 2135 Cypress Avenue 3129 San Fernando Road 12420 Venice Boulevard 12456 Venice Blvd 12027 Venice Blvd, Ste A 12202 W. Washington Blvd. 9910 Long Beach Blvd Ste A 11035 Long Beach Boulevard, Unite #5 3680 E. Imperial Highway, Ste #100 4292 Lincoln Blvd. 4332 E. Slauson Avenue 4487 East Slauson Ave 10331 Sepulveda Boulevard 154 W. Foothill Blvd, Ste C-2A 148 West Foothill Boulevard 460 West Huntington Drive 837 West Foothill Boulevard 3301 W Beverly Blvd 3001 West Beverly Boulevard, #100 2200 W Beverly Blvd Ste 400 1451 N Montebello Blvd 249 E. Beverly Boulevard, Suite A 2100 W. Beverly Boulevard 2059 West Whittier Boulevard 1000 West Whittier Blvd. 711 West Whittier Boulevard 616 N. Garfield Ave. #404 850 S. Atlantic Blvd., Ste 303 871 South Atlantic Boulevard 2071 S. Atlantic Blvd., Suite F 2111 S Atlantic Blvd 25044 Peachland Avenue, Suite 100 15350 Nordhoff St, Suite A 5942 Lankershim Blvd. 5160 Vineland Avenue, Suite 105 12926 Sherman Way 12700 Sherman Way 12125 Vanowen Street, Suite 2 6801 Lankershim Blvd. #101 6738 Lankershim Boulevard 10941 Victory Blvd 12509 Oxnard Street, Suite 201 18519 Devonshire St 9318 Reseda Blvd 9068 Tampa Ave 8540 Reseda Blvd., Suite 101 8676 LINDLEY AVE 8632 Balboa Blvd. 12501 S Norwalk Blvd 13300 San Antonio Dr 11850 Firestone Boulevard, Suite #6 14034 S. Pioneer Blvd. 13828 Pioneer Boulevard 12319 E. Imperial Hwy 13277 Van Nuys Blvd. Unit A 13711 Van Nuys Blvd, Ste 3 10059 Laurel Canyon Bvd, Suite A 4/2016 CITY LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES LYNWOOD LYNWOOD LYNWOOD MARINA DEL REY MAYWOOD MAYWOOD MISSION HILLS MONROVIA MONROVIA MONROVIA MONROVIA MONTEBELLO MONTEBELLO MONTEBELLO MONTEBELLO MONTEBELLO MONTEBELLO MONTEBELLO MONTEBELLO MONTEBELLO MONTEREY PARK MONTEREY PARK MONTEREY PARK MONTEREY PARK MONTEREY PARK NEWHALL NORTH HILLS NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTH HOLLYWOOD NORTHRIDGE NORTHRIDGE NORTHRIDGE NORTHRIDGE NORTHRIDGE NORTHRIDGE NORWALK NORWALK NORWALK NORWALK NORWALK NORWALK PACOIMA PACOIMA PACOIMA 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. ZIP 90042-2617 90042-4120 90042-4227 90043-5144 90044-4834 90044-5770 90045-5910 90047-5422 90048-5812 90057-2201 90057-2353 90057-3518 90057-3872 90057-4010 90057-4102 90057-4103 90059-2897 90063-2326 90065-1212 90065-1412 90066-1111 90066-3804 90066-3844 90066-5508 90262-1561 90262-2570 90262-2663 90292-5655 90270-2800 90270-2943 91345-2421 91016-2171 91016-2175 91016-3202 91016-6193 90640-1536 90640-2255 90640-2311 90640-2584 90640-3776 90640-3902 90640-4010 90640-4639 90640-4709 91754-1101 91754-4730 91754-4733 91754-6347 91754-6801 91321-5746 91343-2234 91601-1007 91601-3888 91605-4953 91605-5031 91605-5665 91605-6112 91606-1615 91606-3717 91606-4440 91324-1308 91324-2926 91324-3523 91324-6144 91325-3318 91325-3505 90650-2042 90650-2969 90650-2979 90650-3900 90650-3918 90650-8303 91331-3003 91331-3649 91331-3858 PHONE (323) 257-0915 (323) 478-1101 (323) 982-0999 (323) 750-2082 (323) 750-3370 (323) 750-1582 (310) 215-1455 (323) 753-1141 (323) 525-1819 (213) 201-2765 (213) 484-2919 (213) 858-4007 (213) 381-3900 (213) 252-1700 (213) 484-6660 (213) 484-2186 (323) 564-7504 (323) 260-7173 (323) 223-0731 (323) 257-7744 (310) 482-0015 (310) 390-2423 (310) 313-5150 (310) 915-9797 (323) 563-8900 (310) 608-7777 (310) 761-8100 (310) 578-5000 (323) 773-7373 (323) 773-9961 (818) 810-3290 (626) 263-3333 (626) 358-1833 (626) 358-3636 (626) 305-5722 (323) 722-6766 (323) 728-0327 (323) 483-7025 (323) 724-9955 (323) 726-7500 (323) 724-9536 (323) 727-9898 (323) 346-0555 (323) 278-0170 (626) 280-4122 (213) 808-1790 (626) 284-4200 (323) 260-7878 (323) 261-9999 (661) 287-4352 (818) 672-8228 (818) 985-7477 (818) 761-8899 (818) 765-4422 (818) 764-8843 (818) 764-4679 (818) 764-0718 (818) 503-9697 (818) 509-1967 (818) 285-5757 (818) 831-9990 (818) 885-5200 (818) 734-9030 (818) 701-6667 (818) 700-0000 (818) 894-6161 (562) 929-0880 (562) 863-9396 (562) 864-1011 (562) 863-8779 (562) 863-7253 (562) 868-7955 (818) 899-2505 (818) 890-2600 (818) 896-0043 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 5061 3614 10569 10843 6789 5039 9225 4632 6117 4849 13518 4999 6929 2456 11783 3933 5786 4775 6479 13656 2461 3894 10001 9238 6362 15276 9866 8474 13528 14204 4565 4284 5016 2471 13347 7461 5528 11620 2474 6768 4842 7657 7340 12094 12854 5094 5036 4920 4808 4933 13524 9063 13745 6653 2490 4785 5866 2483 5717 4876 13570 14332 7453 13793 14307 4514 15164 6190 12133 4653 9057 2502 7886 13335 8806 OFFICE NAME Pacoima Family Dental Center Hi Desert Dental Center Premier Dental Care AV Dental Group Oasis Dental Care Sierra Commons Dental Group-PDS Western Dental Services, Inc Coast Dental of California Gateway Dental Group and Orthodontics-PDS Shimon Rabbani D.M.D. Monica Abusleme, D.D.S. Dental Wonderland Dental Center of San Miguel Family Credit Dentistry Western Dental Services, Inc 9-7 Dental Family Center Brennan Hughes, D.M.D. Van Nuys Panorama Dental Center Koo D.D.S. Inc Panorama City Dental Paramount Family Dental West Coast Dental Group of Paramount Paramount Dental Care Western Dental Services, Inc Gentle Care Health Spa Dr. Lena's Family Dentistry Premier Care Dental Group Fair Oaks Family Dental Ibrahim Rabadi, D.D.S. Fair Oaks Dental Group Pasadena Dental Care Washington Dental Group Hastings Ranch Dental Group-PDS A.D. Rangnath, D.D.S. West Coast Dental Group of Pico Rivera Michelle Kim, DDS Ashok Mehta, DDS Dental Masters Muditajaya Dental Corporation Pico Rivera Family Dentistry Del Dental Group Saucedo Dental Corporation St. Moises Dental West Coast Dental Group of Pomona Pomona Dentistry Dental Group-PDS Kent Hung, DMD Grove Family Dental Office Gentle Dental Pomona Bella C Manchandia D.D.S. Pearl Dental Care Sahara Dental Reseda Dental Group City Dental Group Adult and Kid's Dental Care Citi Dental Group Magic Dental Office Valley Dental Center Harvey E. Dlugatch, D.D.S. Reseda Village Dental Care Peninsula Dental Arts Glenrose Dental Chang Family Dentistry All American Dental Center Jun and Shan Dental Service Inc Gentle Dental Clinc San Dimas Dental Office-PDS Plaza Dental Office California Dental Fawzy Tadros, DDS Heavenly Dental Western Dental Services, Inc. San Fernando Dental Center San Fernando Dental Care EZ Dental Specialty Group San Gabriel Family Dentistry ADDRESS ALAMEDA COUNTY 9722 Laurel Canyon Blvd. 2205 E. Palmdale Blvd. 3005 E. Palmdale Boulevard, Suite 22 1037 East Palmdale Boulevard, Suite #203 40008 10th St W. Suite F-106 755 West Rancho Vista Boulevard 510 W Rancho Vista Blvd 38745 N Tierra Subida Ave, Ste 150 38209 47th St East, Ste E 14554 Nordhoff Street 14621 Nordhoff St., Ste. 1-A 8761 Van Nuys Blvd. 8781 Van Nuys Boulevard, 2nd Floor 8628 Van Nuys Boulevard, Suite 200 8600 Van Nuys Blvd 8424 Van Nuys Blvd 14526 Roscoe Boulevard 8227 Van Nuys Blvd 8215 Van Nuys Blvd #220 13549 Roscoe Blvd 8131 E. Rosecrans Avenue, Suite 101 14525 Lakewood Blvd, Ste A 8524 1/2 Rosecrans Avenue 470 N. Los Robles Ave. 247 N Lake Ave 65 N Madison Ave, Suite 701 310 South Lake Avenue, Lower Level 929 North Orange Grove Boulevard 2281 E. Washington Blvd. 301 S. Fairoaks Suite 206 1092 E. Green Street 2554 E. Washington Blvd 255 N. Rosemead Blvd. 4400 Rosemead Blvd., Suite 2 9050 Whittier Blvd 8819 Whittier Boulevard, Suite 102 9514 Whittier Blvd. 8982 Washington Blvd 9123 Slauson Avenue 9401 Slauson Avenue 8035 W Manchester Ave Suite B 180 E Mission Boulevard, Suite A 12 Rancho Camino Drive, Suite 102 763 Rio Rancho Rd Ste 120 2071 Rancho Valley Drive Ste 140 520 E. Foothill Blvd. Ste B 3167 N Garey Ave 175 W La Verne Ave, Ste A 551 E Holt Blvd 2407 Valley Blvd Suite C 2005 W. Holt Ave 18437 Saticoy Street, Suite # 1 18511 Sherman Way Ste A 6915 Reseda Blvd, Ste #6 6900 Reseda Boulevard, Suite C 18308 Sherman Way Suite 1 19231 Victory Boulevard, Suite 357 18909 Sherman Way 18700 Sherman Way, Suite 116 550 Deep Valley Drive, Ste 347 8951 Glendon Wy 8038 Garvey Ave, Ste B 7551 Garvey Ave 2111 N San Gabriel Blvd Ste I 18736 Colima Road 923 W Arrow Hwy 1120 Via Verde 2040 Glenoaks Blvd Suite F 774 N. Maclay Ave Ste A 321 N. Maclay Avenue Suite A 1101 E. Truman St, Ste A-D 125 S. Brand Blvd. 500 San Fernando Mission, Suite 200 12940 Foothill Boulevard, Suite #C 531 West Las Tunas Drive, Suite B 4/2016 CITY PACOIMA PALMDALE PALMDALE PALMDALE PALMDALE PALMDALE PALMDALE PALMDALE PALMDALE PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PANORAMA CITY PARAMOUNT PARAMOUNT PARAMOUNT PASADENA PASADENA PASADENA PASADENA PASADENA PASADENA PASADENA PASADENA PASADENA PASADENA PICO RIVERA PICO RIVERA PICO RIVERA PICO RIVERA PICO RIVERA PICO RIVERA PICO RIVERA PLAYA DEL REY POMONA POMONA POMONA POMONA POMONA POMONA POMONA POMONA POMONA POMONA RESEDA RESEDA RESEDA RESEDA RESEDA RESEDA RESEDA RESEDA ROLLING HILLS ESTATES ROSEMEAD ROSEMEAD ROSEMEAD ROSEMEAD ROWLAND HEIGHTS SAN DIMAS SAN DIMAS SAN FERNANDO SAN FERNANDO SAN FERNANDO SAN FERNANDO SAN FERNANDO SAN FERNANDO SAN FERNANDO SAN GABRIEL 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. ZIP 91331-4106 93550-1316 93550-1832 93550-4745 93551-3009 93551-3735 93551-3737 93551-4567 93552-3113 91402-1811 91402-1833 91402-2401 91402-2401 91402-2913 91402-2913 91402-3610 91402-4176 91402-4804 91402-4836 91402-5500 90723-2758 90723-3638 90723-3644 91101-1302 91101-1828 91101-2046 91101-3537 91103-3354 91104-1944 91105-2561 91106-2506 91107-1445 91107-3102 90660-1780 90660-2410 90660-2673 90660-2835 90660-3765 90660-4522 90660-4747 90293-7985 91766-1843 91766-7008 91766-7015 91766-7105 91767-1200 91767-1366 91767-2347 91767-5623 91768-2719 91768-3308 91335-2911 91335-4213 91335-4248 91335-4266 91335-4475 91335-6354 91335-7700 91335-9101 90274-7603 91770-1892 91770-2482 91770-2911 91770-3600 91748-2916 91773-2420 91773-4401 91340-1662 91340-2143 91340-2945 91340-3254 91340-3304 91340-4062 91340-9998 91776-1166 PHONE (818) 897-1234 (661) 273-1333 (661) 273-5221 (661) 272-9181 (661) 947-2727 (661) 265-7800 (661) 273-9000 (661) 272-9091 (661) 236-0046 (818) 891-2345 (818) 891-1761 (818) 891-1600 (818) 892-2649 (818) 895-1321 (747) 201-6014 (818) 893-4222 (818) 893-7858 (818) 989-3074 (818) 782-8261 (818) 782-5501 (562) 634-2984 (562) 272-0000 (562) 633-3082 (626) 578-1200 (626) 405-2922 (626) 795-2900 (626) 795-6855 (626) 449-3700 (626) 794-2606 (626) 431-2654 (626) 795-9328 (626) 296-0056 (626) 351-0195 (562) 695-5251 (562) 456-1111 (562) 699-1000 (562) 942-2345 (562) 222-1551 (562) 949-0177 (562) 949-9500 (310) 822-8118 (909) 623-5278 (909) 865-8500 (909) 242-7989 (909) 374-1815 (909) 624-1781 (909) 596-7700 (909) 593-5515 (909) 622-8600 (909) 839-1004 (909) 623-9590 (818) 344-8338 (818) 345-9800 (818) 881-6761 (818) 705-0200 (818) 881-0404 (818) 785-5445 (818) 345-1343 (818) 757-7070 (310) 377-9575 (626) 288-7667 (626) 571-7000 (626) 288-2886 (626) 280-4976 (626) 839-8389 (909) 592-5599 (909) 599-2444 (818) 361-3889 (818) 403-6436 (818) 837-9744 (818) 898-1433 (818) 365-6321 (818) 365-7107 (818) 408-5100 (626) 281-1628 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 8494 4456 2511 7334 10000 2518 9724 4650 4733 7998 9245 14240 13336 4991 11092 4673 4819 5884 9098 5685 5995 5141 6971 13813 12460 3982 5525 7462 13818 6026 4488 2539 4498 8407 10682 4973 4461 3706 6525 4695 2552 6465 13919 6342 8612 15340 2559 6483 4208 3895 4634 5292 7330 6197 2575 15144 13379 6654 6634 4566 2586 4542 9869 4724 4543 2588 6202 8482 12741 4889 7329 4503 900239 2594 6041 OFFICE NAME Jing Xu DDS Family Dentistry Las Tunas Family Dental Group Del Mar Dental Office Hai-Sou Chen, DDS San Pedro Family Dentist Hamid Cohen Kheradyar, D.D.S. San Pedro Dental Care Canyon Country Dental Group-PDS Vista Village Dental Lyons Dental Care Western Dental Services, Inc. Gentle Dental Santa Clarita Comfort Dental Valencia Dental Group at Copper Hill-PDS Gentle Dental Brennan Hughes DMD Santa Monica Dental American Family Dental Wilshire Dental Western Dental Services, Inc. Bouquet Smile Dentistry Anait Alabyan, D.D.S. Sherman Oaks Cosmetic & Implant Dental Group David Isaacs DDS, Inc Durfee Dental Office Tyler Dental Care Garvey Dental Center Henry Shafajoo, DDS Summer Smile Dental AAA Dental Centers Magdy F. Tadros, DDS Dr. Naziri Dental Clinic West Coast Dental Group of South Gate Adult & Children's Dental Group Omid South Gate Dental New Vision Dental Royal Dental Spa SC Dental Care Laurel Chandler Dental Group Family Dentistry Fresh Smile Dental Sunland Dental Care American Smile Dental Care Triple Dental Saint Mina Family Dental Dr. Shahin Shamsian Tarzana Dental Specialists Fara Salehi, D.D.S. Armen Mikaelian, D.D.S. Tina Ghotanian, D.D.S. West Coast Dental of Torrance Coast Dental of California Village Family Dental Office Dental Associates of Torrance Robert Mondavi, DDS Torrance Dental Associates E-Yonsei Dental Office PCH Smiles Dentistry and Orthodontics Dental Group-PDS Canyon Dental Group Plaza Del Rancho Dental Care Wyndhamsmith and Kim Dr. Zak Dental Care Valencia Dental Group I-PDS Daniel Liberman, D.D.S. Baywood Dental Group Valencia Dental Group II-PDS Hamlin Dental Group Mehrzad Firouzbakht, DDS Sinai Dental Group Smile Wide West Coast Dental Group of Van Nuys The Dental Care Center Plaza Dental Clinic Hanasab Dental Sherman Way Dental Group Walnut Smiles Dentistry and Orthodontics Dental Group-PDS ADDRESS ALAMEDA COUNTY 416 West Las Tunas Drive, Suite 107 1107 E. Las Tunas Dr. 702 S. Del Mar Avenue, Suite A 301 W. Valley Boulevard, Suite 222 204 N. Pacific Avenue 138 S. Gaffey Street 520 West 7th Street 26877 Sierra Hwy 24355 Lyons Avenue, Suite 200 24036 Lyons Ave 23130 Lyons Ave 27661 Bouquet Canyon Rd 27916 Seco Canyon Road, Suite 201 28134 Newhall Ranch Rd 18500 Via Princessa Unit #1 1244 7th Street, Suite 101 900 Wilshire Boulevard, Suite 440 3201 Wilshire Blvd, Suite 110 1670 Lincoln Boulevard 28100 Bouquet Canyon Rd #200 4910 Van Nuys Blvd #200 4955 Van Nuys Blvd., Suite 520 4350 Woodman Avenue 2001 Santa Anita Ave, Suite 204 1928 Tyler Ave, Ste D-168 9328 Garvey Avenue, Suite A 2639 Santa Ana Street 8116 California Ave, Suite C 8426 California Ave 3173 Tweedy Blvd. 4186 Tweedy Blvd 4149 Tweedy Blvd, Ste G 4444 Tweedy Blvd 10530 South Atlantic Avenue 1506 Huntington Drive 11711 Moorpark Street 4366 Tujunga Ave 4717 Laurel Canyon Blvd., Suite 200 8805 Sunland Blvd. 8215 Sunland Blvd 7902 Foothill Blvd 13203 Gladstone Ave 13060 Glenoaks Blvd #105 12601 SAN FERNANDO RD STE H 5620 Wilbur Avenue, Suite 309 18663 Ventura Boulevard, Suite 200 18740 Ventura Blvd., Suite 105 10455 Lower Azusa Rd 10916 Riverside Drive 1730 W Sepulveda Blvd, Ste 1 923 W Carson Street 1235 Sepulveda Blvd. 21229 Hawthorne Boulevard, Suite A 17311 Yukon Ave. 17305 Crenshaw Blvd, Suite B 24205 Hawthorne Boulevard, Ste B 2740 Pacific Coast Hwy 28237 Newhall Ranch Road 27616 Newhall Ranch Rd, Ste 5 28097 Smyth Drive #A 23838 Valencia Blvd Ste 150 24218 Valencia Blvd 23501 Cinema Drive, Suite 112 24121 Baywood Lane Suite A & B 26938 The Old Rd, Suite P 14401 Hamlin Street, Suite D 14100 Victory Blvd. 7335 Van Nuys Blvd, Ste #101 14600 Sherman Way, Ste #100B 13716 Sherman Way 7068 Sepulveda Boulevard 7028 1/2 Van Nuys Blvd 7239 Van Nuys Blvd. #A6 7120 HAYVENHURST AVE STE 205 21750 Valley Blvd, Ste C 4/2016 CITY SAN GABRIEL SAN GABRIEL SAN GABRIEL SAN GABRIEL SAN PEDRO SAN PEDRO SAN PEDRO SANTA CLARITA SANTA CLARITA SANTA CLARITA SANTA CLARITA SANTA CLARITA SANTA CLARITA SANTA CLARITA SANTA CLARITA SANTA MONICA SANTA MONICA SANTA MONICA SANTA MONICA SAUGUS SHERMAN OAKS SHERMAN OAKS SHERMAN OAKS SOUTH EL MONTE SOUTH EL MONTE SOUTH EL MONTE SOUTH GATE SOUTH GATE SOUTH GATE SOUTH GATE SOUTH GATE SOUTH GATE SOUTH GATE SOUTH GATE SOUTH PASADENA STUDIO CITY STUDIO CITY STUDIO CITY SUN VALLEY SUN VALLEY SUNLAND SYLMAR SYLMAR SYLMAR TARZANA TARZANA TARZANA TEMPLE CITY TOLUCA LAKE TORRANCE TORRANCE TORRANCE TORRANCE TORRANCE TORRANCE TORRANCE TORRANCE VALENCIA VALENCIA VALENCIA VALENCIA VALENCIA VALENCIA VALENCIA VALENCIA VAN NUYS VAN NUYS VAN NUYS VAN NUYS VAN NUYS VAN NUYS VAN NUYS VAN NUYS VAN NUYS WALNUT 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. ZIP 91776-1236 91776-1701 91776-2440 91776-3759 90731-2016 90731-2430 90731-3116 91321-2274 91321-2383 91321-2446 91321-2631 91350-1793 91350-2358 91355-0990 91387-8325 90401-1648 90401-1879 90403-2335 90404-3712 91350-2006 91403-1727 91403-1834 91423-3031 91733-3441 91733-3622 91733-4602 90280-2025 90280-2400 90280-2414 90280-5739 90280-6159 90280-6167 90280-6304 90280-7024 91030-0452 91604-2112 91604-2751 91607-3990 91352-2833 91352-3362 91040-2937 91342-3116 91342-3963 91342-7733 91356-1311 91356-4162 91356-6302 91780-3470 91602-2210 90501-6901 90502-2003 90502-2626 90503-5501 90504-2316 90504-2641 90505-5657 90505-5700 91355-0986 91355-4015 91355-4023 91355-5332 91355-5391 91355-5429 91355-6114 91355-9998 91401-1410 91401-1958 91405-1998 91405-2290 91405-2626 91405-2926 91405-3059 91405-5857 91406-3813 91789-0939 PHONE (626) 282-2068 (626) 285-0031 (626) 287-9781 (626) 573-5637 (310) 832-8800 (310) 514-9100 (310) 832-5361 (661) 251-2002 (661) 259-5001 (661) 255-1015 (661) 260-3200 (661) 430-2001 (661) 513-0655 (661) 607-0202 (661) 298-1100 (310) 393-0743 (310) 576-1341 (310) 829-5181 (310) 392-1473 (661) 263-6923 (818) 788-2121 (818) 990-4121 (818) 981-4508 (626) 443-3915 (626) 443-7922 (626) 350-0588 (323) 583-1481 (323) 567-1821 (323) 567-2137 (323) 564-4554 (323) 569-7131 (323) 567-3333 (323) 564-2444 (323) 569-5000 (626) 799-2888 (818) 505-1211 (818) 985-5462 (818) 508-2250 (818) 767-5243 (818) 252-7222 (818) 353-5520 (818) 833-0444 (818) 899-1800 (818) 364-1991 (818) 881-1559 (818) 881-9000 (818) 344-3357 (626) 444-3744 (818) 762-9966 (310) 325-8888 (310) 533-1300 (310) 530-9656 (310) 792-5600 (310) 324-3333 (310) 327-4166 (310) 375-5101 (310) 534-3002 (661) 257-4242 (661) 294-0300 (661) 291-1412 (661) 253-4000 (661) 288-0288 (661) 290-3355 (661) 291-1200 (661) 799-0886 (818) 782-6919 (818) 908-9199 (818) 780-7555 (818) 756-6950 (818) 988-2020 (818) 781-1533 (818) 780-8555 (818) 785-2424 (818) 988-1642 (909) 595-0807 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 2604 6953 4377 6191 13815 7445 4884 5799 2610 14203 2605 13699 3631 11543 2356 2379 2624 14087 9793 5845 13187 10137 9169 6380 2631 2632 12717 2633 4683 10160 4301 4160 OFFICE NAME Tien Chun David Wang, D.M.D. Pedro P. Gonzalez, DDS Inc. Walnut Hills Family Dentistry Alameda Dental Group Apex Implant Center & Dentistry American Dental Group of West Covina West Covina Family Dentistry Queens Dental Group Family Dentistry Smile Center of West Covina Southern California Dental Service Rubin Nichols, DDS Rafik Yanni, D.D.S. Dental Max Dental Center of West Los Angeles Westchester Dental Care Uptown Dental Group Village Dental Center Thomas Trinh D.D.S., Inc. St. Marys The Oral Health Institute Whittier Square Dentistry Whittier Dental Western Dental Services, Inc. Southern California Family Dentistry Whittier Dental Group Friendly Hills Family Dentistry Whittier Family Dental Care Krishna Reddy, D.D.S. Washington Dental Group Lucy Cabieles, D.D.S. Nader Ahdout D.D.S. Edward L Rosen D.D.S. 9168 Western Dental Services, Inc 11815 Novato Smiles Dentistry Dental Group - PDS 9045 Western Dental Services, Inc. 4408 12760 4510 4381 4053 4055 4050 4048 4049 4974 5417 6978 7658 7659 Dra. Rossana Romero Aguirre Dr. Enriquez Sanchez Aguilar Dra. Judith Lopez Prodent Dental World Jose M. Gonzalez, D.D.S. Carlos Ramirez, D.D.S. Clinica Dental De Tijuana Centro Dental Integral Dra. Monica Anda Smile Art Creations Clinica Medica Y Dental De Tijuana Dr. Leon Dychter, DDS Dr. Leon Dychter, DDS 9336 9335 Western Dental Services, Inc Western Dental Services, Inc 9072 9146 Western Dental Services, Inc. Coast Dental - Napa 6755 7751 6776 2645 4106 12751 4052 2644 13062 4925 8576 4661 4515 13009 Aliso Viejo Family Dental Group Excel Dental Dental Aesthetics Professionals Dr. John M. Delaney Dental Corporation California Dental Group of North Anaheim Smile Wide Dental Care of Anaheim Anaheim- Open 7 Days-Dental Office Crescent Family Dental Gentle Dental Anaheim Beach Dental Care 7 Day Dental office of Dr. Le Coastal Dental Care Western Dental Services, Inc. ADDRESS COUNTY 1309 NALAMEDA Grand Avenue 20199 Valley Boulevard, Suite F 18758 E. Amar Rd 7700 S. Alameda St. Suite A 360 S Glendora Ave Unit 1 436 N. Sunset Ave 450 S Glendora Ave Ste 106 910 South Sunset Avenue Suite 3 & 4 1312 W. Francisquito Avenue, Suite D4 820 W. Merced Ave 1014 S. Glendora Avenue 1031 E. Amar Rd 2413 S. Azusa Ave 2360 S Azusa Ave, #B 1964 Westwood Blvd., Suite 145 8930 S. Sepulveda Blvd., Suite 117 6711 S. Greenleaf Avenue 6742 Greenleaf Ave Suite 300 9150 South Painter Avenue #105A 7743 S. Painter Ave, Ste B 13215 East Penn Street, Suite 200 16406 E. Whittier Boulevard 14880 East Whittier Blvd 14412 E. Whittier Boulevard 14564 E. Whittier Blvd. 14544 E. Whittier Blvd. 10420 E Whittier Blvd 7910 Norwalk Blvd 11408 E. Washington Blvd. 1455 N. Avalon Boulevard 22116 Ventura Blvd 21500 Ventura Blvd., Suite 200 MADERA COUNTY 1100 N. Gateway Dr. MARIN COUNTY 948 Diablo Ave MERCED COUNTY 1124 W. Olive Ave, Suite #101 MEXICO Av. Madero No. 1090-6 Av. Reforma #719, 4to Piso, Ste No. 2 Av. Paseo Tijuana #406 M, Int No. 205 Cuarto Piso 4 8800 Via Dela Juventud #2007 Calle 4TA Daiz Miron, Numero 8084 Ave. H. Colon, Numero 508, Entre 1ra. y 2da. Blvd. Agua Caliente, Numero 2341 Altos 6 Calle 5ta E. Numero 8024 Zona Centro Ignacio Comonfort 9379, Suite C, Zona Rio Edmundo O'Gorman 10402-4, Zona del Rio 4002 Sanchez Taboado Blvd C-9 Jose Clemente Orozco #2340-304 8050 6th Street 720 Constitucion Avenida, Oficina 17 MONTEREY COUNTY 921 S. Main Street, Ste A 1229 N. Main St NAPA COUNTY 1260 Trancas Street 2016 Jefferson Street ORANGE COUNTY 27066 South La Paz Road 1602 North Lemon Street 1751 W. Romneya Drive, Suite D 1161 N Euclid St 1221 N. Euclid Street 710 S. Brookhurst Ave, Ste O 815 N. Euclid Street 637 N. Euclid Street 522 North Magnolia Avenue 2170 W Lincoln Ave 2940 West Lincoln Ave, Ste L 2265 W. Lincoln Ave 922 S Euclid St 1696 West Katella Avenue 4/2016 CITY WALNUT WALNUT WALNUT WALNUT PARK WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST COVINA WEST LOS ANGELES WESTCHESTER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WHITTIER WILMINGTON WOODLAND HILLS WOODLAND HILLS ZIP 91789-1317 91789-2671 91789-4169 90255-3745 91790-0304 91790-1652 91790-3068 91790-3409 91790-4658 91790-4901 91790-4920 91792-1340 91792-1536 91792-1540 90025-4683 90045-3606 90601-4110 90601-5153 90602-1160 90602-2450 90602-4715 90603-3043 90605-1727 90605-2105 90605-2129 90605-2129 90606-1136 90606-2196 90606-3122 90744-1506 91364-1648 91364-1939 MADERA 93637-9600 (559) 661-5120 NOVATO 94947-4025 (415) 897-8020 MERCED 95348-1939 (209) 383-2186 MEXICALI MEXICALI TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA TIJUANA PHONE (909) 594-7899 (909) 468-0091 (626) 912-5599 (323) 585-9400 (626) 671-5800 (626) 337-7271 (626) 856-3317 (626) 337-6166 (626) 918-0171 (626) 918-3388 (626) 918-2886 (626) 330-6655 (626) 913-1421 (626) 839-5010 (310) 474-5575 (310) 641-8890 (562) 698-0054 (562) 945-1684 (562) 320-3333 (562) 698-7113 (562) 696-2862 (562) 694-0396 (562) 698-6555 (562) 693-0788 (562) 693-8202 (562) 698-9855 (562) 463-3332 (562) 699-0343 (562) 463-1111 (310) 835-1842 (818) 340-3062 (818) 999-6165 (686) 552-9244 (686) 552-9252 (664) 607-3360 (877) 215-1516 (664) 688-2245 (664) 684-0126 (664) 684-2863 (619) 734-2112 (619) 270-2243 (664) 634-2980 (619) 734-2358 (619) 308-5161 (664) 683-5638 (619) 409-2448 SALINAS SALINAS 93901-2435 (831) 783-3160 93906-2826 (831) 442-8000 NAPA NAPA 94558-2910 (707) 501-5101 94559-1214 (707) 603-4955 ALISO VIEJO ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM 92656-3041 92801-1205 92801-1815 92801-1938 92801-1954 92801-3833 92801-4128 92801-4621 92801-4937 92801-5601 92801-6200 92801-6503 92802-1523 92802-3015 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. (949) 360-9700 (714) 525-5558 (714) 772-3538 (714) 999-5050 (714) 491-2732 (714) 780-5665 (714) 758-0791 (714) 772-2893 (714) 828-1415 (714) 535-3933 (714) 995-4000 (714) 491-8600 (714) 776-7015 (714) 635-3460 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 6860 6107 14123 3979 13324 4367 5832 8781 7832 13193 4465 9208 6805 4935 9113 9500 5435 14195 6103 7720 4811 4910 9237 7446 5448 6880 6459 6312 14246 13665 4395 5013 2714 10142 4485 2675 2647 8749 5850 4292 13671 10322 12530 9618 3903 8941 5014 3948 12924 12750 6842 5425 4519 6299 4302 7655 10479 9186 4962 5045 6352 4349 5429 4824 4330 6047 13319 4660 8040 10402 6857 8870 6569 4518 7771 OFFICE NAME California Dental Group of South Anaheim Maysoon Saeed, DDS First Dental Care State College Dental Group Radiance Dental Anaheim Hills Dental Group-PDS Dental Health Anaheim Hills California Dental Group of Anaheim Hills Cosmetic and Dental Implant Center Catherine Nguyen, DDS Brea Dental Group Brea Dentists and Orthodontists Dental Group- PDS St. Therese Family Dentistry West Coast Dental Group of Buena Park Western Dental Services, Inc. Foroutan Dental Corporation Valley View Dental Buena Park Smile Dental Group Buena Park Dental Center Prime Dental Care Pacific Harbor Dental Group and Orthodontics-PDS Gentle Dental Costa Mesa Western Dental Services, Inc Skyview Dentistry Mesa Dental Center Bay Mesa Dental Cypress Dental Group Cypress Plaza Dental Group Coast Dental Group Katella Dental Center California Dental Group of Cypress Towne Centre Dental Group-PDS Aria Irvani DDS Inc. A. Alex Rajabi, D.D.S., Inc. Dental Arts Family Dental Nandini R. Murthy, D.D.S. Fullerton Dental Care U.S. Dental Group Sunshine Dental Fullerton Dental Center Fullerton Dental Group - PDS Western Dental Services, Inc. Fullerton Dental Associates Vivid Dental Studio Michael C. Oh DMD Brentwood Dental Leonardo Medina, D.D.S. Garden Grove Dental Care Smile Wide Century Dental Care Apex Implant Center & Dentistry Coastal Dental Care Cosmetic and Dental Implant Center Yorktown Dental Practice Of Trinh D.D.S. Beach Dental Group-PDS Bella Terra Dentistry Crystal Dental Beachside Dental Group Pacifica Dental Big Dental Group Beach Dental Group and Orthodontics -PDS Huntington Beach Dentistry Dental Associates of Huntington Beach Walnut Dental Group and Orthodontics -PDS OC Dental Group Alton Implant Center & Dentistry Dental Care Of Irvine University Park Dental The Dental Office On Red Hill - PDS Basem Airood, DDS Irvine Sedation & Implant Dentistry La Habra Modern Dentistry - PDS Coastal Dental Care Kyung Sook Yu, DDS, Inc ADDRESS COUNTY 2300 S.ALAMEDA Harbor Boulevard 710 South Brookhurst Street, Ste K 2801 W. Ball Rd #10 330 N. State College Blvd., Suite 105 5675 East La Palma Avenue, Suite #197 5731 E. Santa Ana Canyon Rd, Ste A 8101 E. Kaiser Blvd Ste #150 140 S Fairmont Blvd 782 N. Brea Blvd 552 East Lambert Road 503 E Imperial Hwy 2500 East Imperial Hwy, Ste 120 6891 La Palma Avenue 8381 La Palma Ave, Suite B & C 5971 Lincoln Ave 8951 Knott Avenue Suite L 10102 Valley View Street 6131 Orangethorpe Avenue #405 8402 Commonwealth Avenue 7540 Orangethorpe Avenue, Ste C4 3030 Harbor Blvd., Suite G1 2000 N Harbor Blvd, Ste B-100 534 W. 19th St. 570 West 19th Street 267 E 17th St 2023 Harbor Boulevard, Suite D 9922 Walker St, Ste C 5460 Orange Avenue 10521 Valley View St 6897 Katella Avenue 11741 Valley View St #E 45 Auto Center Drive Suite 110 26700 Towne Centre Drive, Suite 210 26730 Towne Centre, Ste 101 11703 Edinger Ave 2442 E Chapman Ave 607 E. Chapman Ave 170 N Raymond Ave 1019 N. Harbor 506 W. Commonwealth Avenue 446 E. Commonwealth Ave. 1573 South Harbor Boulevard 1620 S Harbor Blvd Ste A 2949 Brea Boulevard 301 W. Bastanchury Road, Suite 5 1321 North Harbor Boulevard Suite 201 12400 Euclid St 13034 Chapman Avenue 12630 Brookhurst St, Ste B 12828 Harbor Blvd, Ste #340 13011 Century Blvd 13872 Harbor Blvd., Suite 1A-3 10044 Westminster Ave 19080 Brookhurst Street 9931 YORKTOWN AVE 9842 Adams Avenue, Suite 106 16261 Beach Blvd 7812 Warner Avenue 18800 Main Street, Suite 110 18821 Delaware Street, Suite 101 18682 Beach Blvd., Suite 100 19720 Beach Blvd #A 19754 Beach Blvd. 5942 Edinger Avenue, Suite 101 14427 Culver Drive 14130 Culver Dr Suite C 5405 Alton Pkwy, Suite # F 4330 Barranca Pkwy. #230 5321 University Dr. Suite A 17010 Red Hill Avenue 17931 MacArthur Boulevard 113 Water Works Way, Suite 220 1701 West Imperial Hwy, Ste B 1216 S Idaho St Suite C 1370 South Beach Boulevard, Suite E 4/2016 CITY ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM ANAHEIM HILLS BREA BREA BREA BREA BUENA PARK BUENA PARK BUENA PARK BUENA PARK BUENA PARK BUENA PARK BUENA PARK BUENA PARK COSTA MESA COSTA MESA COSTA MESA COSTA MESA COSTA MESA COSTA MESA CYPRESS CYPRESS CYPRESS CYPRESS CYPRESS FOOTHILL RANCH FOOTHILL RANCH FOOTHILL RANCH FOUNTAIN VALLEY FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON FULLERTON GARDEN GROVE GARDEN GROVE GARDEN GROVE GARDEN GROVE GARDEN GROVE GARDEN GROVE GARDEN GROVE HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH HUNTINGTON BEACH IRVINE IRVINE IRVINE IRVINE IRVINE IRVINE IRVINE IRVINE LA HABRA LA HABRA LA HABRA 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. ZIP 92802-3518 92804-4321 92804-4900 92806-2943 92807-2107 92807-3234 92808-2661 92808-1336 92821-3334 92821-4116 92821-5544 92821-6116 90620-2429 90620-3271 90620-3580 90620-4108 90620-4344 90620-4902 90621-2528 90621-3458 92626-2562 92627-2601 92627-2748 92627-2749 92627-3831 92627-5552 90630-3097 90630-3740 90630-4832 90630-5107 90630-5500 92610-2848 92610-2854 92610-2857 92708-1208 92831-3604 92831-3803 92831-4610 92832-1310 92832-1723 92832-2019 92832-3402 92832-3474 92835-2073 92835-3422 92835-4130 92840-3310 92840-4349 92840-4886 92840-5833 92843-1209 92843-4000 92843-4721 92646-2552 92646-2842 92646-4827 92647-4102 92647-4700 92648-1717 92648-1935 92648-2049 92648-2987 92648-2989 92649-1763 92604-0305 92604-0321 92604-3719 92604-4756 92612-2942 92614-5626 92614-6505 92617-3176 90631-0604 90631-0609 90631-1178 PHONE (714) 750-3030 (714) 758-0778 (714) 527-5656 (714) 772-5005 (714) 695-0593 (714) 998-2956 (714) 921-9252 (714) 974-0054 (714) 257-0330 (714) 990-3344 (714) 672-9000 (714) 990-2299 (714) 994-6911 (714) 228-9990 (714) 995-3976 (714) 826-4181 (714) 229-4898 (714) 670-7134 (714) 739-2051 (714) 522-4445 (714) 546-6100 (949) 645-5070 (949) 645-1408 (949) 642-4222 (949) 646-2411 (949) 646-9000 (714) 220-0354 (714) 226-9630 (714) 995-9700 (714) 952-3044 (714) 826-3000 (949) 588-5906 (949) 458-5858 (949) 916-4500 (714) 775-1934 (714) 525-4538 (714) 774-2638 (714) 870-2000 (714) 992-0300 (714) 738-7777 (714) 680-6767 (714) 441-0131 (714) 294-7066 (714) 671-0300 (714) 871-4892 (714) 526-5577 (714) 537-1600 (714) 750-7333 (714) 530-4920 (714) 530-9801 (714) 534-7020 (714) 265-1000 (714) 539-7070 (714) 968-2527 (714) 963-9800 (714) 968-4907 (714) 847-2220 (714) 841-4700 (714) 842-6151 (714) 848-8211 (714) 968-3522 (714) 593-1010 (714) 964-8830 (714) 377-4449 (949) 733-0486 (949) 653-8888 (949) 262-0300 (949) 786-1234 (949) 653-2244 (949) 975-0150 (949) 862-0028 (949) 727-0777 (562) 690-5729 (714) 447-8200 (562) 694-5850 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 8022 8503 5221 7887 5693 4874 13006 8721 4357 10226 6125 13575 8986 12370 10141 4376 4937 6904 4621 13598 6105 7985 11243 2721 9863 2690 4752 5222 4926 10489 5988 11242 7408 4221 13490 4222 6033 4509 2001 4720 5154 8426 8106 2731 7443 7947 4354 6806 4787 4356 4525 4561 4350 7766 9191 6281 6492 6820 13022 4213 9267 6777 9053 7510 6198 7327 7979 4623 6056 4484 2758 8475 6300 7399 4273 OFFICE NAME La Habra Smile Dental Valentina Redden DDS Inc. Gentle Dental La Habra Dental One Akshar Dental Harbor Dental Care La Palma Dental Care 7 Day Dental of Dr. Chung Laguna Beach Dental-PDS Tadros Dentistry Brilliant Smile Dental Group Alicia Parkway Dental Laguna Spa Dentistry Choice Dental Care Heather Ridge Dentistry Laguna Niguel Dental Group and Orthodontics-PDS Gentle Dental Laguna Woods Kathy Massoumi, DDS, Inc. Coast Dental of California Marina Dental Heritage Dental Group Brightcare Dental Los Alamitos Family Dentistry Ashok Mehta, D.D.S., Inc. James Vartanian, D.D.S. Marguerite Dental Gateway Dental Group Gentle Dental Mission Viejo Mission Dental Group and Orthodontics Newport Dental Center Group Richard E. Sprague, DDS & Associates Tustin Plaza Dental Group Shiny Dental Practice St. Catherine Dental Center Comfort Smile Family Dentistry California Dental Group of Orange Bright Dental Care West Coast Dental Group of Orange Preferred Dental Care Orange Art of Dentistry Gentle Dental Orange Town And Country Dental Center Orange Park Smile Studio Orange Hill Dental Group Cosmetic and Dental Implant Center Naomi J. Wong, DDS Rancho Dental Group-PDS Santa Margarita Dental Group So Cal Smiles Dentistry Rancho Dental Group-PDS Appealing Dentistry of Rancho Santa Margarita Artistic Dentistry San Clemente Dental Group-PDS Southern California Family Dentistry San Juan Dental Specialist Capistrano Dental Group Iraj Ebrami, DDS Inc Crystal Dental Aqua Dental Dental 4 Western Dental Services, Inc Sweet Tooth Dental Group Western Dental Services, Inc. Carlos King Dental Office Bristol Dental Care Yen Bich Phan, DDS South Coast Family Dental Coast Dental of California Orange Coast Dental United Dental Care Nandini R. Murthy, D.D.S., Inc. My Dentist Family Dental 1521 North Anh Vu D.D.S. ADDRESS ALAMEDA COUNTY 1250 West Whittier Blvd 111 North Euclid Street 331 N Harbor Blvd 1875 W. La Habra Blvd 1281 E. La Habra Blvd., Suite 4 1150 East Imperial Hwy 7881 Valley View St. 27702 Crown Valley Parkway, Suite A2 31796 So. Coast Hway 23141 Moulton Pkwy, Ste 211 23024 Lake Forest Drive Suite A 25401 Alicia Pkwy Ste J 25596 Alicia Parkway 30262 Crown Valley Parkway, Ste E 27150 Alicia Parkway, Suite J 27901 La Paz Road, Suite D 24102 El Toro Rd Suite A 22706 Aspan Street, Suite 602 23082 Ridge Route Dr, Suite A 23591 El Toro Rd., #130 22373 El Toro Rd 23731 El Toro Rd Suite D 3662 Katella Avenue, Suite #206 10900 Los Alamitos Blvd., Suite 133 26302 La Paz Road, Suite 203 27871 Medical Center Rd, Ste 165 25982 Pala #110 25523 Marguerite Pkwy, Suite C 26032 Marguerite Parkway, Suite A1 2105 San Joaquin Hills Road 122 Agate Avenue 1872 North Tustin Street 1916 North Tustin Ave. 235 East Katella Avenue 1920 E. Katella # J 1502 E. Collins Ave 765 N. Tustin Street 179 N Tustin Ave 2022 W Chapman Avenue 146 S. Main Street, Ste M 424 S Main St Ste H,I,J 1111 West Town and Country Road, Suite 33 8418 East Chapman Avenue 3138 E.Chapman Avenue, Suite A 1858 N Placentia Avenue 415 W. Chapman Ave 22032 El Paseo Rd Ste #110 22195 El Paseo, Suie 260 22195 El Paseo Suite 220 30592 Santa Margarita Parkway, Suite D 29839 Rancho Santa Margarita Pkwy Ste 100 439 N EL Camino Real #E 943 Avenida Pico, Suite A 638 Camino de los Mares Suite C-140 31897 Del Obispo Street, Suite 100 31878 Del Obispo st #105 1125 East 17th Street, Ste #E227 1125 East 17th Street, Ste. W127 1319 North Main Street 102 E. 4th Street, 2nd Floor 500 N. Main St. 301 1/2 North Main 2701 West 1st St. 1734 West 1st Street, Suite H 410 N. Bristol St. #C 120 S. Harbor Boulevard, Suite A 2781 W. McArthur Blvd, Ste N 3500 S Bristol St, Ste 100 1717 Old Tustin Ave 1710 East 17th Street Suite E 2723 N. Bristol Street, Suite D-7 2001 West 17th Street 516- A West 17th Street 1521 North Broadway Street 1311 N Broadway Suite B 4/2016 CITY LA HABRA LA HABRA LA HABRA LA HABRA LA HABRA LA HABRA LA PALMA LADERA RANCH LAGUNA BEACH LAGUNA HILLS LAGUNA HILLS LAGUNA HILLS LAGUNA HILLS LAGUNA NIGUEL LAGUNA NIGUEL LAGUNA NIGUEL LAGUNA WOODS LAKE FOREST LAKE FOREST LAKE FOREST LAKE FOREST LAKE FOREST LOS ALAMITOS LOS ALAMITOS MISSION VIEJO MISSION VIEJO MISSION VIEJO MISSION VIEJO MISSION VIEJO NEWPORT BEACH NEWPORT BEACH ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE ORANGE PLACENTIA PLACENTIA RANCHO SANTA MARGARITA RANCHO SANTA MARGARITA RANCHO SANTA MARGARITA RANCHO SANTA MARGARITA RANCHO SANTA MARGARITA SAN CLEMENTE SAN CLEMENTE SAN CLEMENTE SAN JUAN CAPISTRANO SAN JUAN CAPISTRANO SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA SANTA ANA 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. ZIP 90631-3611 90631-4614 90631-4846 90631-5131 90631-5661 90631-7454 90623-1849 92694-0609 92651-6974 92653-1204 92653-1328 92653-4958 92653-5309 92677-2364 92677-3415 92677-3932 92637-3123 92630-1603 92630-3691 92630-4704 92630-5053 92630-8615 90720-3192 90720-5612 92691-5328 92691-6425 92691-6719 92692-2925 92692-5282 92660-6507 92662-1070 92865-4605 92865-4644 92867-4853 92867-5146 92867-5934 92867-7128 92867-7716 92868-2610 92868-2861 92868-3828 92868-4667 92869-2459 92869-3722 92870-2303 92870-5905 92688-3950 92688-3951 92688-3952 92688-5802 92688-9998 92672-4700 92673-3914 92673-4813 92675-3207 92675-3223 92701-2218 92701-2228 92701-2318 92701-4602 92701-4620 92701-4852 92703-3443 92703-3667 92703-3814 92704-1382 92704-7095 92704-7319 92705-7815 92705-8622 92706-1419 92706-2322 92706-3677 92706-3906 92706-3929 PHONE (562) 266-9277 (562) 697-1229 (562) 694-3511 (562) 266-0033 (562) 697-3788 (714) 992-2200 (714) 739-2727 (949) 365-1900 (949) 415-1020 (949) 916-0568 (949) 716-7166 (949) 587-3010 (949) 951-7645 (949) 363-0018 (949) 362-4900 (949) 389-9195 (949) 830-6510 (949) 716-7000 (949) 837-2766 (949) 206-9508 (949) 951-5503 (949) 581-8108 (562) 598-7914 (562) 596-8888 (949) 586-5669 (949) 364-2529 (949) 707-7000 (949) 768-1800 (949) 582-8400 (949) 721-1730 (949) 675-3636 (714) 637-8662 (714) 282-9966 (714) 633-3336 (714) 997-4133 (714) 288-8464 (714) 771-7474 (714) 288-1035 (714) 978-3333 (714) 938-0568 (714) 639-1922 (714) 285-0505 (714) 984-2050 (714) 639-2703 (714) 577-9070 (714) 223-2021 (949) 766-4546 (949) 459-9300 (949) 766-0006 (949) 766-5740 (949) 766-7687 (949) 366-1177 (949) 366-9555 (949) 234-0500 (949) 487-0284 (949) 487-3273 (714) 543-7770 (714) 541-9203 (714) 972-2782 (714) 558-1464 (714) 973-9005 (714) 547-6600 (714) 973-2022 (714) 542-9785 (714) 953-2198 (714) 531-3405 (714) 556-7277 (714) 957-6030 (714) 835-9188 (714) 564-9000 (714) 569-0021 (714) 547-4444 (714) 972-2506 (714) 972-2801 (714) 541-2723 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 8440 5766 10326 4532 9905 6068 4659 4466 9046 9517 4881 4250 6652 8401 9044 5066 9256 6517 7865 5721 4841 4731 4266 OFFICE NAME Thanh Q. Nguyen, DDS John Shui, D.D.S. Rossmoor Dental Group-PDS St. George The Oral Health Institute Jeffrey Chu, D.D.S., Inc. Smile Academy Amit Shah D.D.S. Tustin Dental Care AA Family Dental Group Dentistry Blossom Southland Dental Arts Tustin Dental Office-PDS Zareh & Zareh Dental Inc Smile Dental Care Western Dental Services, Inc. Star Bright Dental Taylor Pham Dental Corporation Ngoc-Lien T. Nguyen Yorba Linda Smiles Dentistry & Orthodontics Dental Group-PDS Eastlake Village Dental Dr. Nilar Thein Yorba Linda Dental Group-PDS Family Dentistry 6371 4972 4749 12116 12991 5002 4748 5155 4744 8639 4812 9701 14078 4813 9317 4961 Sierra Smiles Dentistry and Orthodontics Dental Group-PDS Parkway Dental Group and Orthodontics - PDS Lincoln Hills Family Dental Rocklin Modern Dentistry Dental Group - PDS Gentle Dental North Rocklin Highland Dental Group-PDS Rocky Ridge Family Dental Interdental Care Said Shaari D.D.S. Healthy Impression Dental Group Granite Bay Smiles-PDS ConfiDental Care Sentinel Dental Pleasant Grove Dental Group-PDS Western Dental Services, Inc Pavillions Dental Group-PDS 4286 9105 7345 10289 6115 FQHC013061 4467 8903 11664 5973 6783 5952 9061 14309 7656 4346 7934 10490 12773 5022 2783 15208 4832 8847 9857 11598 12644 10291 6845 8492 8902 4723 8905 Dental Works Western Dental Services, Inc. Beaumont Dental Group Michael R. Bryant Beaumont Smiles Dental Group-PDS Centro Medico Cathedral City Pure Dental Western Dental Services, Inc. Smile Big Dental Peter Escutin, DDS, Inc. Corona Dental Center McKinley Dentistry Western Dental Services, Inc. Singhal Dental Inc Eastvale Dental South Corona Dental Group-PDS Orchard Dental Group Canyon Dental Associates West Coast Dental Gentle Dental Corona Corona Family Dental Group California Dental Main Street Dental Group-PDS Bright Smile Dentistry Sahara Dental Downtown Dental St. John Dental Group Hemet Smiles Hemet Dental Care Sunshine Dental Care Western Dental Services, Inc. Hemet Dental Group and Orthodontics-PDS Western Dental Services, Inc. ADDRESS ALAMEDA COUNTY 319 East 17th Street 1702 South Main Street 12419 Seal Beach Boulevard 1058 Bolsa Avenue 7025 Katella Avenue 12793 Beach Blvd 17602 Seventeenth St., #105 12575 Newport Ave Suite B 18102 Irvine Boulevard, Suite #205 18102 Irvine Boulevard, Suite 200 740 El Camino Real, Suite #200 13721 Newport Avenue, Suite 1 13830 Red Hill Ave. 14001 Newport Avenue, Suite C 8001 Westminster Ave 5871 Westminster Blvd., Suite G 15310 Goldenwest Street 9435 Edinger Avenue 16691 Yorba Linda Blvd. 20429 E. Yorba Linda Blvd. 17540 Yorba Linda Blvd 18432 Yorba Linda Blvd., Suite D 19751 Esperanza Road PLACER COUNTY 2503 Bell Road 781 Sterling Parkway 2295 Fieldstone Drive Suite 100 5182 Commons Dr Ste 101 5494 Crossings Dr Ste 103 3291 Stanford Ranch Rd, Ste 102 1700 Rocky Ridge Dr. Suite 100 106 North Sunrise Ave. #B-10 406 Sunrise Ave Suite 270 730 Sunrise Avenue, Suite 120 8630 Sierra College Blvd, Ste 110 927 Reserve Drive, Suite A 6756 Stanford Ranch Rd. 10357 Fairway Drive, Suite 100 9450 Fairway Dr, Ste 110 1259 Pleasant Grove Blvd RIVERSIDE COUNTY 6350 W Ramsey Ste A 887 W. Ramsey St. 930 Beaumont Avenue 1080 Beaumont Avenue 1620 2nd Street MarketPlace, Ste A 69175 Ramon Road, Building A 69420 Ramon Road 69160 Ramon Rd Ste 100 1185 Magnolia Ave Ste K 3848 N. McKinley St, Ste D 161 McKinley Street, Suite 102 115 McKinley St, Ste 105 617 N. Main St 4264 Green River Road # 102 6987 Hamner Avenue, Suite # 5 1312 E. Ontario Avenue Suite 102 2150 California Ave, Ste 107 2097 Compton Avenue Building 1, Suite 102 1160 E. Ontario Ave Ste 102 & 103 1074 W 6th St, Ste 104 1358 W. 6th Street, Suite 101 650 S Lincoln Avenue, Suite 102 131 West Ontario Ave Suite 102 920 N State St 255 North Gilbert Street Unit C-1 301 E Florida Ave #A 810 St. John Pl Ste C 1001 South State Street, Suite # B 1300 E. Florida Avenue, Suite A20 239 N. Sanderson Ave #C-2 3027 West Florida Ave 4000 W Florida Ave 81735 Hwy 111 Ste A 4/2016 CITY SANTA ANA SANTA ANA SEAL BEACH SEAL BEACH STANTON STANTON TUSTIN TUSTIN TUSTIN TUSTIN TUSTIN TUSTIN TUSTIN TUSTIN WESTMINSTER WESTMINSTER WESTMINSTER WESTMINSTER YORBA LINDA YORBA LINDA YORBA LINDA YORBA LINDA YORBA LINDA ZIP 92706-4108 92707-1836 90740-2710 90740-6211 90680-2804 90680-4003 92780-1961 92780-2452 92780-3424 92780-3424 92780-4369 92780-4601 92780-4637 92780-7830 92683-3302 92683-3580 92683-6150 92683-7425 92886-2046 92886-3042 92886-3825 92886-4008 92886-6452 PHONE (714) 569-1100 (714) 796-9253 (562) 431-0393 (562) 594-4885 (714) 229-1234 (714) 903-9963 (714) 544-7511 (714) 731-6100 (714) 731-5656 (714) 832-7220 (714) 838-3230 (714) 368-1400 (714) 832-1730 (714) 508-8500 (714) 373-9971 (714) 373-5999 (714) 893-2411 (714) 775-1818 (714) 854-9920 (714) 695-9530 (714) 996-4057 (714) 970-2801 (714) 779-9870 AUBURN LINCOLN LINCOLN ROCKLIN ROCKLIN ROCKLIN ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE ROSEVILLE 95603-2533 95648-7320 95648-8807 95677-2911 95677-3912 95765-5577 95661-2832 95661-2915 95661-4129 95661-4549 95661-7009 95678-1383 95678-1907 95678-3544 95678-3588 95678-6973 (530) 823-3803 (916) 543-7880 (916) 543-0222 (916) 660-9487 (916) 778-3539 (916) 435-1665 (916) 782-6001 (916) 787-0631 (916) 789-4568 (916) 797-0868 (916) 783-0244 (916) 742-5424 (916) 774-0600 (916) 782-4500 (916) 771-8464 (916) 782-2010 BANNING BANNING BEAUMONT BEAUMONT BEAUMONT CATHEDRAL CITY CATHEDRAL CITY CATHEDRAL CITY CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA CORONA HEMET HEMET HEMET HEMET HEMET HEMET HEMET HEMET HEMET INDIO 92220-3065 92220-4437 92223-1831 92223-1833 92223-3160 92234-3344 92234-3349 92234-9140 92879-3218 92879-6113 92879-6530 92879-6562 92880-1467 92880-1632 92880-3810 92881-6645 92881-7271 92881-7289 92881-8653 92882-1639 92882-3167 92882-3540 92882-5274 92543-1473 92543-4066 92543-4253 92543-4414 92543-7188 92544-8640 92545-3609 92545-3617 92545-5279 92201-0713 (951) 769-0466 (951) 849-3214 (951) 845-2200 (951) 845-7300 (951) 769-9131 (760) 219-4480 (760) 202-1171 (760) 969-5469 (951) 898-9223 (951) 371-2424 (951) 737-3746 (951) 280-9300 (951) 736-9508 (951) 340-0200 (951) 371-3464 (951) 273-0370 (951) 279-4333 (951) 273-0555 (951) 547-7484 (951) 279-7650 (951) 734-4620 (951) 372-0440 (951) 898-9700 (951) 765-1234 (951) 766-7990 (951) 925-6621 (951) 652-4040 (951) 658-6100 (951) 765-5544 (951) 925-1223 (951) 929-2222 (951) 658-9980 (760) 391-4466 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. Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 6414 4252 4919 6937 4360 7579 5139 12049 4941 8928 6193 3612 6779 4728 5837 4921 4569 5851 8378 2806 13064 5672 4607 9059 6691 4361 13307 8906 4352 6702 4774 5054 4922 4943 13529 5834 4363 12316 4918 7447 9330 5836 6166 6872 5698 12748 FQHC7357 4894 6931 6201 5128 4923 4875 4609 4307 9039 12028 6930 11368 12889 6072 2820 4366 4924 11944 4942 FQHC9655 FQHC9868 4742 4871 10571 6018 6846 6363 7960 OFFICE NAME Hovsep Nargizyan Dental Corporation Desert Dental Service Gentle Dental Indio Indio Dental Office La Quinta Dental Group and Orthodontics- PDS Jefferson Dental Oak Grove Detal Group-PDS Western Dental Services, Inc. Marketplace Dental Group-PDS Diamond Dental and Orthodontics Menifee Smile Dentistry and Orthodontics Dental Group-PDS All Dental of Menifee Mira Loma Dental Gateway Dental Group and Orthodontics-PDS Mira Loma Smiles Dentistry Dental Group - PDS Gentle Dental Moreno Valley All-Brite Dental Care Robert Silvola, DDS Katyuska Paredes, DDS Image Dentistry Moreno Dental Care Stoneridge Dental Group-PDS Coast Dental of California Western Dental Services, Inc. Copper Canyon Smiles Murrieta Dental Group-PDS Madison Springs Dental Group Western Dental Services, Inc. Murrieta Dental Group-PDS Friendly Dental Center East Murrieta Dental Group-PDS Plaza Dental Group-PDS Gentle Dental Norco Hamner Dental Group-PDS Shadow Hills Dental Care Desert Gateway Dental Group-PDS Desert Crossing Dental Group and Orthodontics -PDS Tellissi Family Dentistry Gentle Dental Desert Dental Tahquitz Dental Group Western Dental Services, Inc Crossing Dental Group & Orthodontics -PDS Gentle Dental Perris Crossroads Family Dental Rancho Mirage Dental Group-PDS Smile Wide Arlanza Family Health Center Surja Pal Sharma D.D.S. M.A. Zareh, DDS California Dental Group of Riverside West Coast Dental Group of Riverside Gentle Dental Riverside Gateway Dental Group and Orthodontics - PDS Coast Dental of California Central City Dental Group Western Dental Services, Inc. Allure Dental Associates Family Dentistry David O. Medina DDS Inc Regal Dentistry Dental Health Riverside Star Dental Group, Inc Arlington Dental Group and Orthodontics - PDS Gentle Dental Riverside Dental Practice Palm Dental Group Canyon Springs Dental Group Moreno Valley-PDS University Community Health Center Eastside Health Center Riverside Dentistry Grove Dental Group-PDS San Jacinto Dental Group San Jacinto Smiles Dental Group McCall Dental Practice Sun City Dentistry Bradley Family Dental Group ADDRESS COUNTY 81637ALAMEDA Hwy 111 #1 81955 Highway 111, Ste 102 81557 Dr Carreon Blvd, Suite D3 80-545 Highway 111, Suite 3 78-595 Hwy 111, #300 79800 Highway 111, Suite # 109 18285 Collier Avenue, Suite B 31960 Mission Trl 29273 Central Avenue, Suite A 31500 Grape Street Suite 8 30406 Haun Road, Ste 740 27192 Newport Road, Suite 2 11058 Limonite Avenue 12571 Limonite Ave, Ste 230 6445 Pat's Ranch Rd Ste G 12800 Heacock St, Ste A-1 12712 Heacock Street Suite 4 12810 Heacock St. #B103 23318 Olivewood Plaza Drive, Suite C 23205 Sunnymead Blvd 23750 Alessandro Boulevard, Suite # 0-102 27110 Eucalyptus Avenue, Suite A 12252 Perris Blvd Ste B 23185 Hemlock Avenue, Suite #1 23771 Washington Ave, Ste H-102 40770 California Oaks Rd 25285 Madison Avenue, Suite #107 25155 Madison Ave Suite 101 25395 Madison Avenue, Suite 103 39252 Winchester Road, Ste 117 39209 Winchester Rd Suite 100 40484 Murrieta Hot Springs Road, Suite 102 1260 Hamner Ave, Ste C&D 140 Hidden Valley Pkwy, Ste K 39-620 Washington Street, Suite C 34-460 Monterey Ave, Ste 100 72-333 Hwy 111, Ste B 72695 Hwy 111, Ste A-8 1111 Tahquitz Canyon Way, Suite 210 1921 E.Tahquitz Canyon Way 555 S. Sunrise Way, Ste 400 3150 Case Road, Building C 2560 N Perris Blvd Ste F1 1675 North Perris Blvd. Suite A1 72-027 Highway 111, Suite C 4024 12th St 8856 Arlington Avenue 5515 Van Buren Blvd 8990 Garfield Street, Suite 4 3845 Pierce Street Unit A 3380 La Sierra Ave, Ste 108 10168 Indiana Ave 10286 Indiana Ave 10001 Indiana Ave 6005 Arlington Ave 3485 Madison Ave 17024 Van Buren Blvd #B 4710 La Sierra Avenue 10925 Magnolia Avenue 3950 Pierce St Suite L 6339 Brockton Avenue 6071 Magnolia Avenue 3297 Arlington Ave, Ste 101 3630 Central Ave, Ste 6 6862 Palm Ave 2878 Campus Pkwy Suite C-1 2933 University Avenue 1970 University Avenue 1857 University Ave 8735 Trautwein Road 701 W. Esplanade Avenue, Suite K & L 1821 S. San Jacinto Ave, Ste D 28115 Bradley Road, Suite 3 28125 Bradley Road, Suite 210 28401 Bradley Road Suite C 4/2016 CITY INDIO INDIO INDIO INDIO LA QUINTA LA QUINTA LAKE ELSINORE LAKE ELSINORE LAKE ELSINORE LAKE ELSINORE MENIFEE MENIFEE MIRA LOMA MIRA LOMA MIRA LOMA MORENO VALLEY MORENO VALLEY MORENO VALLEY MORENO VALLEY MORENO VALLEY MORENO VALLEY MORENO VALLEY MORENO VALLEY MORENO VALLEY MURRIETA MURRIETA MURRIETA MURRIETA MURRIETA MURRIETA MURRIETA MURRIETA NORCO NORCO PALM DESERT PALM DESERT PALM DESERT PALM DESERT PALM SPRINGS PALM SPRINGS PALM SPRINGS PERRIS PERRIS PERRIS RANCHO MIRAGE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE RIVERSIDE SAN JACINTO SAN JACINTO SUN CITY SUN CITY SUN CITY 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. ZIP 92201-5439 92201-5445 92201-5563 92201-8367 92253-2084 92253-6003 92530-2786 92530-4539 92532-2254 92532-9702 92584-6816 92584-7387 91752-2120 91752-3677 91752-4439 92553-2868 92553-3037 92553-3171 92553-5219 92553-5246 92553-8815 92555-4542 92557-6726 92557-8043 92562-2265 92562-5794 92562-8955 92562-8975 92562-9003 92563-3511 92563-3513 92563-6437 92860-3136 92860-4002 92211-4137 92211-6008 92260-2790 92260-3320 92262-0102 92262-7001 92264-7894 92570-5552 92571-3226 92571-4723 92270-4961 92501-3561 92503-1365 92503-2066 92503-3922 92503-4983 92503-5225 92503-5302 92503-5357 92503-5412 92504-1911 92504-3716 92504-5921 92505-2726 92505-3044 92505-8511 92506-2031 92506-2525 92506-3250 92506-5903 92506-6281 92507-0966 92507-4243 92507-5202 92507-5345 92508-9474 92582-4540 92583-5608 92586-2239 92586-2248 92586-3040 PHONE (760) 342-1448 (760) 347-2331 (760) 775-5284 (760) 342-9938 (760) 771-0300 (760) 775-0600 (951) 471-0034 (951) 643-6094 (951) 245-8664 (951) 471-1628 (951) 679-4624 (951) 672-9457 (951) 737-6005 (951) 360-3444 (951) 808-5881 (951) 247-2688 (951) 247-7400 (951) 242-3441 (951) 242-5585 (951) 242-6242 (951) 656-0088 (951) 616-1759 (951) 222-2000 (951) 243-1000 (951) 691-5096 (951) 677-3078 (951) 698-3585 (951) 834-9750 (951) 696-5660 (951) 894-7769 (951) 304-1348 (951) 461-4306 (951) 279-5200 (951) 898-8673 (760) 343-7737 (760) 610-0358 (760) 674-9666 (760) 340-2160 (760) 327-1125 (760) 325-6480 (760) 322-6061 (951) 345-4386 (951) 657-6466 (951) 657-2222 (760) 340-5155 (951) 784-0636 (951) 710-3980 (951) 352-5838 (951) 687-6453 (951) 359-1900 (951) 354-9999 (951) 352-9747 (951) 359-5200 (951) 689-0701 (951) 352-8318 (951) 688-6949 (951) 776-8806 (951) 324-8180 (951) 977-9991 (951) 688-0082 (951) 369-3597 (951) 680-1777 (951) 683-6055 (951) 682-1720 (951) 683-5490 (951) 571-0011 (951) 220-8230 (951) 213-3450 (951) 781-3021 (951) 776-1330 (951) 654-3424 (951) 654-7744 (951) 723-1188 (951) 679-0520 (951) 679-0691 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 4547 7328 2824 12961 11512 6075 4359 10486 15149 4549 7980 4610 6048 FQHC9572 4730 4351 OFFICE NAME Menifee Dental Group-PDS Friendly Dental Center Temecula Dental Group Enterprise Dental Group Henry Abraham, DDS, Inc. Creekside Dental Temecula Dental Practice-PDS Oasis Family Dental Western Dental Services, Inc. Pacific Dental Group and Orthodontics-PDS Anthem Dental Coast Dental - Temecula Meadows Dental Group-PDS Centro Medico Coachella Bear Creek Dental Group and Orthodontics-PDS Clinton Keith Dental Group-PDS 4975 11678 5038 4597 4931 4680 4539 9313 4599 4727 10743 12993 11334 9316 4538 12359 13580 9351 12484 4705 5420 9356 9103 11340 15161 4716 13333 9320 6010 8441 4652 9319 5920 Walerga Dental Group-PDS Star Dental Practice Sacramento Dental Group Coast Dental of California Citrus Dental Group-PDS Elk Grove Dental Group-PDS River City Dental Group-PDS Western Dental Services, Inc Coast Dental of California Folsom Hills Dentistry Dental Group- PDS Galt Dental Group Star Dental Practice RC Dental Group Western Dental Services, Inc Rancho Cordova Dental Group and Orthodontics-PDS Pro Dental Group Capital Family Dental Western Dental Services, Inc. Arden Modern Dentistry Dental Group - PDS Dr. Vinh D Phan Strawberry Creek Dental Group-PDS Western Dental Services, Inc. Western Dental Services, Inc. Crystal Dental Scripps Dental Group Dr. Said Shaari Western Dental Services, Inc. Western Dental Services, Inc. Promenade Dental Group and Orthodontics - PDS Market West Dental Group - PDS Park Place Dental Group-PDS Western Dental Services, Inc. Kennedy Family Dentistry, Inc. 6331 9291 8804 4917 13309 13677 5966 5407 5971 9324 11241 13530 14197 2860 9031 6112 4368 6079 9458 2865 6774 5812 9041 Carnelian Family Dentistry Smile Bright Dental Sunburst Dental Gentle Dental Apple Valley Desert Dental Group Apple Valley Dental Associates Parkway Dental Group-PDS Elite Dental Services Apple Valley Smiles Dentistry&Orthodontics Dental Group-PDS Western Dental Services, Inc Jess Ranch Dental Chino Valley Smile Center Delicate Smiles Group Dental Center Western Dental Services, Inc. Chino Smiles Dental Group-PDS Chino Hills Dental Group and Orthodontics - PDS Pine Center Dental Group Colton Dental Group Dental Associates of Colton Fontana Smiles Fontana Dental Group Western Dental Services, Inc. ADDRESS COUNTY 29950ALAMEDA Haun Rd Suite 302 28314 Old Town Front Street 41593 Winchester, Road 211 41690 Enterprise Cir N Ste 114 29049 Overland Dr., Ste #C 41785 Nicole Ln, Ste A3 29560 Rancho California Rd, Ste 100 41278 Margarita Road, Suite 101 41115 Winchester Rd, Ste 102 31754 Temecula Parkway 32065 Temecula Pkwy, Ste C 32909 Temecula Pkwy, Ste 102 31843 Rancho California Rd #300 55557 Campus Road 36068 Hidden Springs Rd Suite H 23905 Clinton Keith Rd #108 SACRAMENTO COUNTY 8008 Walerga Road, Suite 100 2447 Mission Ave Ste B 6611 Coyle Ave. 6406 Sunrise Blvd, Suite ACD 5899 Sunrise Boulevard 9640 Bruceville Rd Ste 101 8908 Madison Ave 1016 Riley Street, Ste 1 825 E. Bidwell, Ste 400 2465 Iron Point Road, Suite 120 1067 C Street, Suite 125 9198 Greenback Ln #210 10390 Coloma Road, Suite #A 10321 Folsom Blvd, Ste A 10910 Olson Drive, Suite 100 1111 24th St, Ste 201 3000 L St Ste 205 5501 Stockton Blvd 2654 Marconi Ave Ste 100 3337 El Camino Avenue 8211 Bruceville Road, Suite 155 4401 Florin Rd. 1701 Watt Ave 3315 Alta Arden Expressway, Suite A 79 Scripps Drive, Suite 204 77 Cadillac Dr, Ste 270 8324 Elk Grove Florin Rd 3645 Northgate Blvd, Ste A 3635 N. Freeway Blvd, Ste 110 3290 Arena Boulevard, Suite 610 4690 Natomas Blvd Ste 100 5247 Elkhorn Blvd, Ste C 1611 Executive Court, Ste 200 SAN BERNARDINO COUNTY 6626 Carnelian St 8750 19th Street 17995 Hwy 18, Ste 2 18245 Hwy 18, Suites 3 & 4 19195 Outer Hwy 18, Suite #201 20162 Hwy 18 Ste L 20258 US Highway 18, suite 400 12291 Apple Valley Road 12218 Apple Valley Rd, Bldg 1, Ste 110 19071 Bear Valley Rd, Ste 1 18805 Bear Valley Road, Suite #4 12850 10th Street Suite B-1 4531 Philadelphia Street, #107 5480 Philadelphia Street, Suite D 12400 Central Ave 6961 Schaefer Avenue 3410 Grand Avenue, Suite F 5771 Pine Ave Suite S 944 Via Lata 1080 E. Washington Blvd., Suite B 9261 Sierra Avenue 9193 Sierra Ave. Suite D 10144 Sierra Ave 4/2016 CITY SUN CITY TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA TEMECULA THERMAL WILDOMAR WILDOMAR ZIP 92586-6527 92590-1814 92590-4857 92590-5617 92591-3637 92591-3874 92591-5294 92591-5579 92591-6001 92592-6805 92592-6806 92592-6907 92592-9998 92274-9407 92595-7681 92595-7898 PHONE (951) 679-1667 (951) 676-8920 (951) 296-3366 (951) 296-9661 (951) 506-4900 (951) 699-3250 (951) 699-2144 (951) 695-2290 (951) 331-7020 (951) 694-5255 (951) 302-9300 (951) 972-8080 (951) 676-2613 (760) 399-4526 (951) 678-0790 (951) 304-9700 ANTELOPE CARMICHAEL CARMICHAEL CITRUS HEIGHTS CITRUS HEIGHTS ELK GROVE FAIR OAKS FOLSOM FOLSOM FOLSOM GALT ORANGEVALE RANCHO CORDOVA RANCHO CORDOVA RANCHO CORDOVA SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO SACRAMENTO 95843-9003 95608-4994 95608-6311 95610-5992 95610-6866 95757-5937 95628-4000 95630-3265 95630-4207 95630-8754 95632-1759 95662-5901 95670-2152 95670-3518 95670-5663 95816-5019 95816-5248 95820-5414 95821-5106 95821-6307 95823-2313 95823-2511 95825-2141 95825-2166 95825-6208 95825-8338 95829-9546 95834-1641 95834-2926 95834-3003 95835-2230 95842-2509 95864-2665 (916) 725-4530 (916) 333-1875 (916) 965-6250 (916) 727-1880 (916) 967-7766 (916) 686-9030 (916) 536-5151 (916) 984-4127 (916) 984-4591 (916) 984-9600 (209) 744-0463 (916) 294-7737 (916) 368-0440 (916) 362-5201 (916) 638-3780 (916) 442-5228 (916) 452-1884 (916) 739-6100 (916) 437-0157 (916) 486-8240 (916) 525-7635 (916) 428-4000 (916) 973-1200 (916) 487-3822 (916) 565-2570 (916) 649-8200 (916) 509-3334 (916) 286-7750 (916) 285-6691 (916) 574-9400 (916) 515-4500 (916) 344-1500 (916) 487-5160 ALTA LOMA ALTA LOMA APPLE VALLEY APPLE VALLEY APPLE VALLEY APPLE VALLEY APPLE VALLEY APPLE VALLEY APPLE VALLEY APPLE VALLEY APPLE VALLEY CHINO CHINO CHINO CHINO CHINO CHINO HILLS CHINO HILLS COLTON COLTON FONTANA FONTANA FONTANA 91701-4515 91701-4608 92307-2210 92307-2217 92307-2562 92307-2935 92307-6197 92308-1701 92308-1703 92308-2718 92308-2728 00009-1710 91710-2249 91710-2486 91710-2603 91710-9126 91709-1473 91709-6529 92324-3918 92324-4185 92335-4710 92335-4776 92335-6725 (909) 987-4113 (909) 483-1177 (760) 946-5200 (760) 242-2977 (760) 242-0796 (760) 946-1466 (760) 646-8839 (760) 247-3030 (760) 300-3678 (760) 240-7273 (760) 961-7001 (909) 613-0111 (909) 902-9100 (909) 464-2399 (909) 613-0106 (909) 590-0640 (909) 364-0027 (909) 597-2477 (909) 825-0545 (909) 783-9099 (909) 822-2212 (909) 822-2226 (909) 428-0500 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. Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 4497 5325 4817 13310 13311 7632 4916 4358 7763 6153 6177 4279 7635 13540 8447 5729 2880 2882 10570 4275 6951 6279 6000 9228 10311 5974 4608 8483 4369 4675 10395 6928 10572 11980 10503 5835 4873 7548 5043 9292 9305 11599 4512 13700 9230 4654 4347 9538 2894 4883 4239 13657 6001 5404 8446 4773 5402 6069 4754 9055 6344 4589 4869 4681 13166 3910 11369 6278 4371 5065 13597 6801 4882 13312 13313 OFFICE NAME Sahara Dental Sierra Lakes Dental Group-PDS Triangle Dental Group and Orthodontics-PDS Desert Dental Group - Children's Center Desert Dental Group Dental Group of Hesperia Gentle Dental Hesperia Desert Valley Dental Group-PDS My Kids Dentist and Orthodontics Dental Group-PDS High Desert Smiles and Orthodontics Dental Group-PDS Highland Dental Group and Orthodontics - PDS First Dental Group Xiang Ning Han DDS, Dental Corporation Yen Shin Shih DDS Prof. Inc. River Arch Dental Ontario Family Dentistry William H. Stanley, D.D.S. JOGI Dental Spectrum Dental Arts Bright Dental Care Mission Dental Care White Smile Dental Ontario Smiles Dentistry and Orthodontics Dental Group-PDS Western Dental Services, Inc Alta Loma Dental Care Rania N. Refaat, DDS Coast Dental of California Hattar Dental Inc. North Rancho Cucamonga Dental Grp-PDS Jia Y. Lee, DDS, Inc. Rancho Cucamonga Smiles Dentistry Dental Group - PDS Rancho Cucamonga Dental Care Gentle Dental Foothill Half Dental Golden Smiles Dental Monet Dental Group-PDS Winery Estate Dental Group-PDS Brookside Dental Associates / Specialties United Dental Group Smile Bright Dental Western Dental Services, Inc. Redlands Village Family Dentistry Redlands Dental Group - PDS Rialto Dental Center Western Dental Services, Inc Care Family Dental Group Rialto Dental Group-PDS Metta Surya Family Dentistry Dental Care of Rialto Arrowhead Family Dentistry Antoine Sourialle, DDS Dat Vo, D.D.S. Ahmed M Naji, D.D.S. Osvaldo R. Garcia, D.D.S. Seena Boby, D.D.S. Sierra Gateway Dental Office Brenda Evans-Louka, D.D.S. Inland Dental Center Hub Plaza Dental Group-PDS Western Dental Services, Inc. Sure Smiles Vernon Dental Group Crossroads Dental Group-PDS Douglas Johnson, D.D.S., Inc. Katyuska Paredes, DDS The Upland Dental Office SAVE DENTAL, Practice of Roy D. Soriano, D.D.S., Inc. Hi-Country Dental Care Desert Valley Dental Group-PDS Desert Sky Dental Group-PDS Viewpoint Dental Assoc Hattar Dental Victorville Family Dentistry Desert Dental Group - Children's Center Desert Dental Group ADDRESS COUNTY 17250ALAMEDA Foothill Blvd Suite E 16475 Sierra Lakes Pkwy, Suite 140 14305 Baseline Ave 15209 Bear Valley Rd, Suite B 15209 Bear Valley Rd, Suite A 15776 Main Street Suite 18 16455 Main St, Ste #17 16868 Main Street 12821 Main Street, Suite 120 12821 Main Street, Ste 150 27949 Greenspot Rd, Ste H 9804 Central Avenue 4439 East Mission Boulevard, Suite # E 2413 S Grove Ave 2920 S. Archibald Ave, Suite C 528 N. Fern Avenue 211 N. Euclid Avenue 2242 S. Mountain Avenue 1049 W. Philadelphia Street 2543 S. Euclid Avenue 941 W Mission Blvd, Ste H 3495 East Concourse Unit A 4190 E. 4th Street, Ste C 8678 19th St. Ste 140 7283 Carnelian Street 7388 Carnelian St, Ste C 9349 Foothill Blvd., Suite B 9950 W. Foothill Blvd, Suite T 10797 Foothill Blvd 9477 Haven Ave 7319 Milliken Avenue, Suite 110 10470 Foothill Blvd, Suite 126 8880 E. Foothill Boulevard, Suite 5 8906 San Bernardino Rd #130 9635 Milliken Avenue, Suite 103 12455 Victoria Gardens Ln, Ste 190 7369 Day Creek Blvd Suite F103 720 Brookside Avenue, Suite 100-101 434 Cajon St Suite 101 414 Tennessee Street, Ste K-1 1715 W. Redlands Blvd, Ste B 1785 E Lugonia Ave Ste 103 422 Orange St 1374 W. Foothill Blvd Ste 2E 260 W. Foothill Blvd 2836 W. Rialto Ave. Suite A 1629 S. Riverside Avenue 1734 North Riverside Avenue Suite 3 1817 N Riverside Ave 407 South E Street 399 East Highland Avenue, Ste 120 1470 E. Highland Ave., #D 1799 North Waterman Avenue, Suite E 1428 N. Waterman Avenue, Suite A 807 West Highland Avenue 4168 N Sierra Way 1848 Commer Center East 362 East Vanderbilt Way 1047 E. Harriman Place, Suite B 1199 North E Street 275 East 9th Street Suite L 1655 N. Mount Vernon Avenue, Unit B 1875 N. Campus Ave, Suite C 820 N. Mountain Ave, Ste 103 615 North Benson Avenue, Suite F 350 S. Euclid Avenue, Suite A 14084 Amargosa Road, Suite D270 13186 Amargosa Road 13792 Bear Valley Rd, Suite 1 15667 Roy Rogers Dr, Suite A-101 15366 11th Street, Ste G 15366 11th Street, Suite F 14495 Seventh St., Suite A 12640 Hesperia Rd, Suite C 12640 Hesperia Rd, Suite A 4/2016 CITY FONTANA FONTANA FONTANA HESPERIA HESPERIA HESPERIA HESPERIA HESPERIA HESPERIA HESPERIA HIGHLAND MONTCLAIR MONTCLAIR ONTARIO ONTARIO ONTARIO ONTARIO ONTARIO ONTARIO ONTARIO ONTARIO ONTARIO ONTARIO RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA RANCHO CUCAMONGA REDLANDS REDLANDS REDLANDS REDLANDS REDLANDS REDLANDS RIALTO RIALTO RIALTO RIALTO RIALTO RIALTO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO UPLAND UPLAND UPLAND UPLAND VICTORVILLE VICTORVILLE VICTORVILLE VICTORVILLE VICTORVILLE VICTORVILLE VICTORVILLE VICTORVILLE VICTORVILLE 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. ZIP 92335-9052 92336-1259 92336-3631 92345-1610 92345-1610 92345-3406 92345-3505 92345-6030 92345-9127 92345-9130 92346-4444 91763-2817 91763-6067 91761-6225 91761-9202 91762-3210 91762-3512 91762-6132 91762-6145 91762-6620 91762-6890 91764-4996 91764-5263 91701-4559 91701-5526 91730-1160 91730-3567 91730-3684 91730-3858 91730-5844 91730-6794 91730-6945 91730-7198 91730-8806 91730-9004 91739-7534 91739-8020 92373-5189 92373-5978 92373-8152 92373-9601 92374-2764 92374-3206 92376-4621 92376-5048 92376-6816 92376-7707 92376-8058 92376-8069 92401-2012 92404-3812 92404-4647 92404-5107 92404-5382 92405-3840 92407-3819 92408-3406 92408-3593 92408-4203 92410-3507 92410-4400 92411-1427 91784-8211 91786-4163 91786-5076 91786-6665 92392-2486 92392-8503 92392-8509 92394-2158 92395-3726 92395-3726 92395-4233 92395-7753 92395-7753 PHONE (909) 428-8500 (909) 357-0869 (909) 355-1700 (760) 244-1666 (760) 244-2535 (760) 949-8484 (760) 244-6077 (760) 244-2625 (760) 947-5435 (760) 947-9853 (909) 864-6010 (909) 625-9100 (909) 627-5856 (909) 947-9700 (909) 923-2273 (909) 460-9552 (909) 983-9639 (909) 391-1549 (909) 391-2324 (909) 933-5266 (909) 984-7883 (909) 483-1379 (909) 532-8518 (909) 257-2013 (909) 987-6268 (909) 989-1758 (909) 980-6363 (909) 980-4816 (909) 581-0888 (909) 989-5598 (909) 945-3650 (909) 989-2303 (909) 945-0595 (909) 758-9200 (909) 481-8990 (909) 646-3057 (909) 646-7902 (909) 798-7111 (909) 793-8793 (909) 798-4000 (909) 801-8140 (909) 389-9000 (909) 792-7500 (909) 874-7444 (909) 546-1367 (909) 820-9454 (909) 421-2225 (909) 875-1279 (909) 879-1024 (909) 889-3300 (909) 881-0645 (909) 883-6400 (909) 883-8282 (909) 889-1111 (909) 713-0204 (909) 886-8900 (909) 382-0255 (909) 384-1111 (909) 796-6700 (909) 381-6507 (909) 381-5555 (909) 885-8707 (909) 985-2302 (855) 331-3334 (909) 949-4070 (909) 946-8334 (760) 596-4253 (760) 241-8181 (760) 245-2010 (760) 843-5824 (760) 245-8616 (760) 243-3595 (760) 245-7800 (760) 245-6396 (760) 241-3336 Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 9323 2917 13376 4336 OFFICE NAME Western Dental Services, Inc Yucaipa Family Dentistry Yucaipa Gentle Dentistry,Dental Office of Fadi Bitar DDS Inc Imperial Dental Practice and Orthodontics-PDS FQHC9867 13920 6882 6751 6351 11948 4914 7529 2927 8448 4611 15138 9853 8224 3945 9042 5347 4694 6868 5023 5411 2932 4613 8596 4806 10356 7448 3660 5878 9058 4612 5218 10942 4897 10290 4113 4506 13465 10260 4846 6469 9307 7708 4913 12317 10654 13988 6743 4614 3659 16119 9040 6493 3957 9308 4648 4729 4348 6285 2969 9309 6295 4545 14053 14079 10685 13800 15354 5473 Woolcott Dental Hollander Dental Associates Plaza Family Dental Group Gentle Dental Carlsbad Gateway Dental Group and Orthodontics-PDS La Costa Dentistry and Orthodontics - PDS Gentle Dental Chula Vista Dental Associates (GP) Affinity Dental of South Bay Twin Oaks Family Dentistry Victor J. Mora, DDS Coast Dental of California Smile San Diego Canyon Vista Dental Group-PDS Glenn E Gibson, D.D.S. Dental Checkup Western Dental Services, Inc. Chula Vista Dental Care Alberto Broas, DDS Carmen Denise Maroon-Lopez Bonita Smiles Dentistry Village Dental Group-PDS Del Mar Professional Dental Group Coast Dental of California RSD Dental Group and Orthodontics-PDS El Cajon Family Dental Fletcher Parkway Family Dental Group Dental Arts Group East County Dental Associates Horizon Dental Group Western Dental Services, Inc. Coast Dental of California East County Family Dental Center NCH Dental Camino Dental Group-PDS Richard J. Gill Inc Shahriyar Zandkarimi, D.D.S. Escondido Smiles Dentistry Dental Group and Orthodontics-PDS Familycare Dental Maple Street Dental Group Acacia Dental Care Escondido Dental Group Western Dental Services, Inc North County Dental Specialties Gentle Dental Del Lago La Jolla Family Dentistry La Jolla Village Smiles Dentistry and Implants - PDS Rancho San Diego Dentists Dental Group - PDS Gentle Dental Grossmont Coast Dental of California Affinity Dental of La Mesa Cardinal Dental Group Western Dental Services, Inc. Crown Dental Group Thomas Toma, D.M.D. Western Dental Services, Inc South Oceanside Dental Group and Orthodontics - PDS Quarry Creek Dental Group-PDS College Dental Group-PDS Emerald Dental Group A Poway Dental Group Western Dental Services, Inc Mark W Collins, D.D.S. Poway Family Dental Group-PDS Downtown SD Modern Dentistry Dental Group-PDS East Village Dental Group- PDS Apple Dental Mission Hills Dental Group - PDS Affinity Dental of Hillcrest Sunshine Dentistry ADDRESS 15290ALAMEDA Bear ValleyCOUNTY Road, Ste B 34488 Yucaipa Blvd., Suite F 34895 Yucaipa Boulevard 34880 Yucaipa Blvd SAN DIEGO COUNTY 590 Palm Canyon Drive, Suite 212 1273 Las Flores Dr 2630 El Camino Real. 2620 El Camino Real, Suite A 2635 Gateway Road, Suite 101 7625 Via Campanile, Ste 130 345 F Street Suite 140 290 Landis Avenue, Suites A & B 230 F Street, Suite D 480 4th Avenue, Suite 314 510 Broadway, Suites 4&5 585 Telegraph Canyon Road 700 Otay Lakes Rd 885 Canarios Court, Suite #204 1010 Broadway, Ste. 5 1101 Broadway 1177 Broadway, Suite 19 1295 Broadway St, Ste 204 2648 Main Street, Suite A 1558 E. H Street Suite B 878 Eastlake Parkway, Suite 1511 13983 Mango Drive, Suite 104 2990 Jamacha Rd Suite 132 2907 Jamacha Road, Suite B 2720 Fletcher Pkwy 2295 Fletcher Parkway, Suite 101 707 Arnele Avenue 700 N. Johnson Avenue, Suite P 742 Broadway 583 North 2nd Street 1242 E. Main St. 13465 Camino Canada Road, Suite 110-A 477 North El Camino Real, Suite C210 1340 Encinitas Blvd Suite 100 285 North El Camino Real, Suite # 216 240 West Mission Avenue, Suite A & B 860 W Valley Parkway Ste 100 1114 W. Valley Parkway 327 S. Maple Street 639 South Escondido Boulevard 403 W. Felicita Avenue 1468 E. Valley Pkwy 1356 West Valley Parkway, Suite J 3440 Del Lago Blvd, Suite C 7509 Draper Ave, Ste B 8657 Villa La Jolla Drive, Suite 211 3767 Avocado Blvd 5565 Grossmont Center Dr, Suites #459 & #354 5601 Grossmont Center Dr., Suite 120 & 200 8881 Fletcher Pkwy Suite 325 8960 Fletcher Pkwy, Ste D 1539 East Plaza Boulevard, Suite # A 2405 Hoover Ave 3460 Highland Ave Ste D 3125 Vista Way, Ste 100 2484 Vista Way, Suite B 3430 Marron Road, Suite 300 467 College Blvd., Ste 2 4645 Frazee Road, Ste A 13422 Pomerado Road, Suite 202 12649 Poway Rd. 12285 Scripps Poway Parkway, Suite 102 13616 Poway Road Suite 100 435 4th Ave 1455 G. Street 1540 Fern Street 718 W Washington St 3330 3rd Avenue, Suite 400 4230 30th Street 4/2016 CITY VICTORVILLE YUCAIPA YUCAIPA YUCAIPA ZIP 92395-8515 92399-2482 92399-4234 92399-4235 PHONE (760) 951-7777 (909) 797-0303 (909) 790-6240 (909) 797-1136 BORREGO SPRINGS CARLSBAD CARLSBAD CARLSBAD CARLSBAD CARLSBAD CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA CHULA VISTA DEL MAR EL CAJON EL CAJON EL CAJON EL CAJON EL CAJON EL CAJON EL CAJON EL CAJON EL CAJON EL CAJON ENCINITAS ENCINITAS ENCINITAS ESCONDIDO ESCONDIDO ESCONDIDO ESCONDIDO ESCONDIDO ESCONDIDO ESCONDIDO ESCONDIDO ESCONDIDO LA JOLLA LA JOLLA LA MESA LA MESA LA MESA LA MESA LA MESA NATIONAL CITY NATIONAL CITY NATIONAL CITY OCEANSIDE OCEANSIDE OCEANSIDE OCEANSIDE OCEANSIDE POWAY POWAY POWAY POWAY SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO 92004-9998 92008-1030 92008-1214 92008-1255 92009-1753 92009-8489 91910-2632 91910-2638 91910-2845 91910-4403 91910-5306 91910-6436 91910-6912 91910-7877 91911-1867 91911-2706 91911-2771 91911-2976 91911-4664 91913-2018 91914-4550 92014-3146 92019-4320 92019-4342 92020-2110 92020-2140 92020-2501 92020-2589 92021-4630 92021-6449 92021-7205 92021-8814 92024-1355 92024-2844 92024-5385 92025-1700 92025-2534 92025-2559 92025-4122 92025-4817 92025-6517 92027-2314 92029-2138 92029-7430 92037-4857 92037-8309 91941-7301 91942-3023 91942-3074 91942-3194 91942-3298 91950-3641 91950-6619 91950-7446 92054-3630 92054-5682 92056-4674 92057-5436 92057-6152 92064-3548 92064-4415 92064-6149 92064-6548 92101-6234 92101-7309 92102-1536 92103-1938 92103-5639 92104-1312 (760) 767-5112 (760) 434-2526 (760) 434-1761 (760) 720-0966 (760) 431-8112 (760) 633-1653 (619) 476-1001 (619) 691-0121 (619) 427-5262 (619) 425-8060 (619) 476-9400 (619) 421-7010 (619) 421-8474 (619) 216-9900 (619) 422-0800 (619) 422-8884 (619) 409-1400 (619) 420-9027 (619) 423-5200 (619) 421-9070 (619) 739-4936 (858) 792-6662 (619) 670-1700 (619) 660-2424 (619) 466-1292 (619) 644-3307 (619) 444-1001 (619) 444-3127 (619) 440-0071 (619) 440-5800 (619) 444-6355 (619) 390-3669 (760) 943-8880 (760) 942-3900 (760) 753-1227 (760) 747-7000 (760) 745-1585 (760) 738-1070 (760) 745-2550 (760) 489-6197 (760) 233-2260 (760) 480-8700 (760) 233-5887 (760) 746-8777 (858) 454-8484 (858) 272-2260 (619) 729-2323 (619) 464-3383 (619) 462-2272 (619) 697-2800 (619) 345-7999 (619) 474-1072 (619) 474-6200 (619) 420-1100 (760) 439-1000 (760) 439-0334 (760) 730-1303 (760) 631-3060 (760) 722-0137 (858) 679-4949 (858) 486-6672 (858) 536-8338 (858) 391-9300 (619) 850-2550 (619) 324-4981 (619) 236-9549 (619) 699-9008 (619) 291-8750 (619) 282-1007 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. Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 9076 9570 9126 15137 4615 9617 11978 8647 6732 2982 10227 4617 9129 12048 4830 2576 9310 11277 11278 10327 10877 6721 6720 9025 6855 4776 4616 13743 5412 10522 4822 4406 12856 6744 9576 4649 5956 9652 9898 8968 11946 3011 5469 4511 5972 4499 6824 6765 12925 4618 11621 10565 OFFICE NAME Western Dental Services, Inc. Pristine Dental, Vu Thanh Thai D.M.D., Inc. Western Dental Services, Inc. Smile San Diego Coast Dental - Mission Valley Mission Valley Dentists Dental Group - PDS PB Smiles Dentistry Dental Group - PDS Houman Hivand, DDS San Diego Dental Arts Richard Katnik D.D.S. Inc. Clairemont Smiles Dentistry & Orthodontics-PDS Coast Dental of California Gene P. Moore, DDS Kensington Dental Group - PDS American Dental Soft Touch Dental Group Western Dental Services, Inc Advanced Dentistry Smiles on the Bay Clairemont Family Dental Group Mission Family Dental Gentle Dental Sorrento Valley Gentle Dental La Jolla Arvinda Reddy K. DDS, Inc Stonecrest Dental Group and Orthodontics-PDS Tierrasanta Dental Group-PDS Coast Dental of California Smile Insight Dental Bernardo Heights Dental Group-PDS Frank E. Rafail, DMD Rite Family Dental Ray Derakshan D.M.D. Inc. Pacific Highlands Dentistry Dental Group-PDS Gentle Dental Mira Mesa Albert O. Broas, D.D.S., Inc. San Marcos Dental Group-PDS Rasika Jain, D.D.S. Santa Fe Smiles Las Posas Dental Practice - PDS Western Dental Services, Inc. Santee Smiles Dentistry Dental Group - PDS Edward Reidy, D.D.S. Santee Cottonwood Dental Town Center Dental Group-PDS Santee Town Dental Group and Orthodontics-PDS Vista Dental Group-PDS Vista Village Family Dentistry Jose M. Sosa, DDS, Inc. Vista Perfecta Dental Group Coast Dental of California North County Dental Care Vista Dental Care & Specialty Center 5230 6053 9327 15140 7557 13714 4887 5021 Van Ness Dental Group South Van Ness Dental Western Dental Services, Inc Gentle Dental San Francisco Richmond Dental Care Mikhail Berdichevsky D.D.S. Noriega Dental Mouhannad Almajdalani, DDS 9350 11709 8976 7379 5691 9348 4637 8611 9352 9325 6799 4892 Western Dental Services, Inc. Modern Dental Health Western Dental Services, Inc. Western Dental Services, Inc. Stadium Dental Group-PDS Western Dental Services, Inc. Coast Dental of California Dental Group of Stockton Western Dental Services, Inc. Western Dental Services, Inc Kevin Thang Pham, DDS, PC Park West Dental Group & Orthodontics-PDS ADDRESS ALAMEDAAve COUNTY 2948 University 3078 University Avenue 4123 University Ave 2650 Camino Del Rio North, Suite 102 1333 Camino Del Rio S, Suite 202 5638 Mission Center Road, Suite 107 1975 Garnet Ave Ste E 1707 Grand Avenue 2168 Balboa Avenue, Suite 1 7319 Clairemont Mesa Blvd. 5675 Balboa Avenue 3820 Convoy St. 286 Euclid Avenue, #201 4142 Adams Ave Ste 104 5382 Clairemont Mesa Blvd 3735 Clairmont Mesa Blvd. 3802 Clairemont Mesa Blvd. 4320 Genesee Avenue, #101 3737 Moraga Avenue, Suite B307 3670 Clairemont Drive #14 5995 Mission Gorge Road, Suite A 11230 Sorrento Valley Blvd, Ste 130 9339 Genesee Ave, Suite #240 5440 Morehouse Drive, Suite 1800 3737 Murphy Canyon Rd, Ste C-2 10405 Tierrasanta Blvd 8997 Mira Mesa Blvd 11828 Rancho Bernardo Rd Ste 203 15731 Bernardo Heights Pkwy Ste 101 11738 Carmel Mountain Road, Suite #170 12330 Carmel Mtn Rd Suite C4 11134 Rancho Carmel Dr #103 5965 Village Way, Ste #E-206 9855 Erma Rd, Suite 108 3398 Palm Ave Suite D 709 Center Drive, Suite 101 630 Nordahl Rd, Ste D 365 South Rancho Santa Fe Road Suite 201 145 South Las Posas Road, Suite 162 169 S. Rancho Santa Fe Rd 9331 Mission Gorge Rd, Ste 105 9280 Mast Blvd. 9715 Mission Gorge Rd. 9862 E. Mission Gorge Rd, Ste E 246 Town Center Pkwy 435 S. Melrose Drive, Suite 105 950 Civic Center Drive, Suite B 1235 W. Vista Way, Suite L 985 S. Santa Fe Unit #5 1279 E Vista Wy 1000 E Vista Way 138 Civic Center Drive, Suite 115 SAN FRANCISCO COUNTY 2243 Van Ness Avenue, Ste 101 & 201 240 Shotwell St, Ste 230 2813 Mission St. 2364 Geary Blvd 4312 Geary Boulevard 4444 Geary Boulevard, Suite 303 3749 Noriega St 1550 LOMBARD ST SAN JOAQUIN COUNTY 320 S. Cherokee Ln. 601 W. Kettleman Ln 1332 E. Yosemite Ave Ste F 1160 W. Yosemite Blvd 2288 Daniels Street 678 N. Wilson Way, Ste D 5756 Pacific Ave, Suite 75 1036 West Robinhood Drive, Suite 104 1407 W. March Ln. 7860 West Lane, Ste B-5 7746 Lorraine Ave Ste 204 10928 Trinity Parkway 4/2016 CITY SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN DIEGO SAN MARCOS SAN MARCOS SAN MARCOS SAN MARCOS SAN MARCOS SANTEE SANTEE SANTEE SANTEE SANTEE VISTA VISTA VISTA VISTA VISTA VISTA VISTA ZIP 92104-2934 92104-3034 92105-1418 92108-1630 92108-3520 92108-4348 92109-3594 92109-4469 92109-4600 92111-1101 92111-2705 92111-3722 92114-3612 92116-2594 92117-2213 92117-2606 92117-2712 92117-4900 92117-5360 92117-5961 92120-4028 92121-1338 92121-2121 92121-6705 92123-4454 92124-2603 92126-2738 92128-1909 92128-3156 92128-4635 92128-4654 92128-4671 92130-2427 92131-1007 92154-1687 92069-2502 92069-3541 92078-2338 92078-2419 92078-2501 92071-1388 92071-2150 92071-3809 92071-3873 92071-5803 92081-6661 92083-5208 92083-6234 92083-6912 92084-4039 92084-4602 92084-6042 PHONE (619) 294-4500 (619) 295-8891 (619) 521-0033 (619) 298-0521 (619) 260-4990 (619) 220-0159 (858) 866-0808 (858) 483-7457 (858) 273-2800 (858) 569-9651 (858) 268-0110 (858) 569-1100 (619) 263-6683 (619) 326-0157 (858) 277-6620 (858) 274-8200 (858) 273-8300 (858) 496-7517 (858) 273-1631 (858) 273-0540 (619) 280-6500 (858) 458-9126 (858) 552-1244 (858) 433-8798 (858) 694-0790 (858) 492-9300 (858) 536-5550 (858) 798-5153 (858) 674-6813 (858) 675-1180 (858) 485-0555 (858) 485-1010 (858) 900-3541 (858) 578-9020 (619) 575-1363 (760) 746-2045 (760) 480-1750 (760) 471-6011 (760) 736-4247 (760) 916-9595 (619) 448-2158 (619) 449-8530 (619) 448-7444 (619) 596-1600 (619) 312-6006 (760) 758-7580 (760) 208-4030 (760) 730-0168 (760) 295-1778 (760) 940-8811 (760) 940-4266 (760) 630-5000 SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO 94109-2504 94110-1323 94110-3907 94115-3305 94118-3004 94118-3045 94122-3903 94123-3154 (415) 441-2098 (415) 431-9797 (415) 285-7500 (415) 921-6722 (415) 752-5605 (415) 386-5590 (415) 661-8851 (415) 921-5555 LODI LODI MANTECA MANTECA MANTECA STOCKTON STOCKTON STOCKTON STOCKTON STOCKTON STOCKTON STOCKTON 95240-4266 95240-6005 95336-5004 95337-5239 95337-6706 95205-4272 95207-5156 95207-5622 95207-6111 95210-3317 95210-4234 95219-7230 (209) 366-7970 (209) 366-1850 (209) 823-0219 (209) 624-5160 (209) 456-5610 (209) 937-9000 (209) 472-1765 (209) 956-9650 (209) 473-4000 (209) 954-1727 (209) 475-0869 (209) 474-8000 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. Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# 4605 14051 8435 9353 OFFICE NAME Coast Dental of California Eternal Dental Tracy Smiles Modern Dentistry - PDS Western Dental Services, Inc. 3041 4270 4825 9086 13330 8480 Mouhannad Al-Majadalani, DDS Campus Heights Dental Care Joseph K Sarkhosh D.D.S. Western Dental Services, Inc. Western Dental Services, Inc. Union Dental 9074 4909 4394 9079 Western Dental Services, Inc. Gentle Dental Santa Barbara Sea Breeze Dental Care Western Dental Services, Inc. 9334 6925 10765 9651 6051 5266 9337 6739 7787 4457 6485 9339 9338 5603 9530 4602 5313 6959 13286 4299 10378 Western Dental Services, Inc Kothary Dental Group Yoo J. Kim. DDS Tuyen Nguyen San Antonio Dental Dr. Tuyen Nguyen, D.D.S. Western Dental Services, Inc Huong T. Nguyen, DDS, Inc. Jackson Family Dental Story Dental Health Center Dental Concepts Eastridge Western Dental Services, Inc. Western Dental Services, Inc. Meridian Dental Associates Rio Dental Clinic Coast Dental of California Star Dental Silicon Valley Dental Western Dental Services, Inc. Northern Dental Sunnyvale Smile Care 6916 9340 9197 Jesse A. Halbleib, A Dental Corp. Western Dental Services, Inc Western Dental Services, Inc 8967 Western Dental Services, Inc 5501 9312 4603 4209 10670 9014 6736 4692 8908 9322 4604 Julius Mosely, DDS Western Dental Services, Inc. Coast Dental of California Tri-City Dental Group Fairfield Dentists Dental Group - PDS Nut Tree Smiles Dentistry & Orthodontics-PDS All Smiles Dental Alamo Family Dental Care Western Dental Services, Inc. Western Dental Services, Inc Coast Dental of California 10681 11630 12171 5131 8895 8896 Petaluma Modern Dentistry Dental Group - PDS Design Dental Smiles Rohnert Park Smiles Dentistry - PDS Coast Dental of California Western Dental Services, Inc. Western Dental Services, Inc. 14226 9468 9354 5294 9467 15178 7703 8972 12165 10632 Modesto Modern Dentistry Dental Group-PDS Western Dental Services, Inc. Western Dental Services, Inc. Coast Dental of California Western Dental Services, Inc. Coffee Dental Group Salida Dental Group Western Dental Services, Inc. Palm Dental Group Turlock Smiles Denstistry & Orthodontics-PDS ADDRESS ALAMEDA COUNTY 2990 W Grant Line Rd 530 W. Eaton Ave Suite L 2600 South Tracy Boulevard, Suite 170 2313 N. Corral Hollow Rd SAN MATEO COUNTY 320 Washington St Suite 105 901 Campus Drive #304 888 Oak Grove Ave Suite 6 975 Veterans Blvd 4100 S. EL Camino Real 215 Miller Ave SANTA BARBARA COUNTY 5680 Calle Real 330 State St, Ste A 5168 Holister Ave 2205 South Broadway SANTA CLARA COUNTY 780 1st St. 15075 Los Gatos Boulevard, Suite 100 40 N Park Victoria Drive, Suite D 1350 South Park Victoria Suite 41 530 Showers Dr, Ste 3 634 East Santa Clara St. 48 E. Santa Clara St 266 N Jackson Avenue, Suite 3 2324 Montpelier Drive, Suite # 3 2454 Story Road 2200 Eastridge Loop, Suite 1060 1110 S. King Rd, Ste 60 1871 Camden Ave. 1241 Meridian Ave 1060 S. White Road, Suite C 5130 Stevens Creek Blvd Ste B 980 El Camino Real #250 2727 Walsh Ave, Suite 102 2825 El Camino Real 122 Saratoga Ave 665 Knickerbocker Drive, Suite 12 SANTA CRUZ COUNTY 4450 Capitola Road, Suite 102 1107 Ocean St 1895 Main St SHASTA COUNTY 1350 Churn Creek Road Suite F-1 SOLANO COUNTY 2750 N. Texas Street, Ste 340 2440 N. Texas Street 1955 W. Texas St. Ste 12 634 Webster Street, Suite A 3332 North Texas Street, Suite C 110 Nut Tree Parkway 1241 Alamo Drive, Suite 11 3000 Alamo Dr Ste 203 791 E. Monte Vista Ave 3587 Sonoma Blvd 133 Plaza Drive, Suite R SONOMA COUNTY 401 Kenilworth Drive, Suite 960 1456 Professional Dr, Ste 401 6315 Commerce Blvd 140 Stony Point Rd, Ste A 4100 Montgomery Drive, Suite B 1240 Farmers Lane STANISLAUS COUNTY 2103 McHenry Ave Suite C 1705 Prescott 2045 W. Briggsmore Ave, Ste E 2900 Standiford Ave, Ste 2 1720 Hatch Rd 1130 Coffee Road, #1A 5708 Pirrone Rd 703 N. Golden State Blvd 241 N. Palm St 2808 W. Monte Vista Ave 4/2016 CITY TRACY TRACY TRACY TRACY ZIP 95304-7901 95376-3400 95376-9111 95376-9401 PHONE (209) 830-7797 (209) 839-8810 (209) 836-5441 (209) 832-9530 DALY CITY DALY CITY MENLO PARK REDWOOD CITY SAN MATEO SOUTH SAN FRANCISCO 94015-1972 94015-4930 94025-4428 94063-1714 94403-5131 94080-3722 (650) 994-1111 (650) 756-1900 (650) 327-8081 (650) 365-8900 (650) 235-1460 (650) 763-1223 GOLETA SANTA BARBARA SANTA BARBARA SANTA MARIA 93117-2317 93101-2360 93111-2526 93454-7813 (805) 979-3040 (805) 963-1533 (805) 683-5300 (805) 346-2130 GILROY LOS GATOS MILPITAS MILPITAS MOUNTAIN VIEW SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SAN JOSE SANTA CLARA SANTA CLARA SANTA CLARA SANTA CLARA SUNNYVALE 95020-4972 95032-2056 95035-4600 95035-6941 94040-1457 95112-1902 95113-7000 95116-1606 95116-1612 95122-1058 95122-1478 95122-2118 95124-2945 95125-5210 95127-3820 95129-1019 95050-4289 95051-0956 95051-2901 95051-7305 94087-1059 (408) 337-3620 (408) 356-2049 (408) 263-0371 (408) 946-8276 (650) 917-8348 (408) 286-6156 (408) 293-7000 (408) 258-2207 (408) 937-5950 (408) 272-0888 (408) 238-6684 (408) 273-7252 (408) 377-5700 (408) 266-6144 (408) 929-4321 (408) 557-9830 (408) 247-3740 (408) 987-0530 (408) 343-4170 (408) 556-1333 (408) 730-4064 CAPITOLA SANTA CRUZ WATSONVILLE 95010-3570 (831) 462-1612 95060-2818 (831) 600-3260 95076-6024 (831) 763-4730 REDDING 96003-4168 (530) 224-9700 FAIRFIELD FAIRFIELD FAIRFIELD FAIRFIELD FAIRFIELD VACAVILLE VACAVILLE VACAVILLE VACAVILLE VALLEJO VALLEJO 94533-1290 94533-1602 94533-4462 94533-6249 94533-9758 95687-3251 95687-5620 95687-6352 95688-2920 94590-2945 94591-3703 (707) 421-2161 (707) 422-4600 (707) 428-5400 (707) 399-8569 (707) 399-9082 (707) 451-8390 (707) 447-8289 (707) 454-3888 (707) 359-2211 (707) 557-8000 (707) 557-6245 PETALUMA PETALUMA ROHNERT PARK SANTA ROSA SANTA ROSA SANTA ROSA 94952-2340 94954-6639 94928-2403 95401-4121 95405-5283 95405-6707 (707) 789-9600 (707) 763-3203 (707) 584-7401 (707) 578-3118 (707) 537-2021 (707) 542-5235 MODESTO MODESTO MODESTO MODESTO MODESTO MODESTO SALIDA TURLOCK TURLOCK TURLOCK 00009-5350 95350-2543 95350-3770 95350-6575 95351-5075 95355-4228 95368-9313 95380-3953 95380-4028 95380-8409 (209) 435-9550 (209) 572-6045 (209) 527-3000 (209) 577-5008 (209) 538-9551 (209) 523-5991 (209) 543-3888 (209) 634-0500 (209) 667-2254 (209) 667-2879 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. Member Services (888) 703-6999 LIBERTY Dental Plan CA-400 Provider Directory California ID# OFFICE NAME 9104 Western Dental Services, Inc. 9360 9873 9167 13002 9349 12640 13466 Western Dental Services, Inc. Sweet Smiles Western Dental Services, Inc. Western Dental Services, Inc. Western Dental Services, Inc. Packwood Creek Dental Group - PDS Visalia Modern Dentistry Dental Group - PDS 4339 3096 5004 5241 10288 6406 3102 10375 9077 5068 6401 3101 4337 6298 2537 4507 9071 4793 9794 4852 4243 4544 4946 4334 3125 9306 4263 6941 4983 2615 4944 4418 15179 Camarillo Dental Group-PDS Farid R. Sehati, D.D.S. Mission Oaks Dental Group-PDS Moorpark Dental Group and Orthodontics - PDS Park Place Dental Group and Orthodontics - PDS Beach Cities Dental Group Fremont Square Family Dentistry The Dental Office Western Dental Services, Inc. Rose Dental Group-PDS Oxnard Dental Group Dental Care of Oxnard Pacific Dental Group & Orthodontics-PDS Simi Valley Smiles-PDS Zak Family Dentistry Simi Valley Dental Group and Orthodontics-PDS Western Dental Services, Inc. First Street Dental Group-PDS Anit Natt East Oaks Dental Group-PDS Los Robles Dental Plaza Thousand Oaks Dental Group-PDS Royal Dental Spa Mission Dental Group Ventura Dental Group Western Dental Services, Inc Amerident Group Plaza Dental Group Main Street Dental Group- PDS Stephen Cheung, D.D.S. Platt Village Dental Group-PDS Rene Ghotanian D.D.S. Lindero Canyon Dental Group - PDS 10533 6077 6439 Davis Smiles Dentistry Dental Group-PDS South River Dental Group and Orthodontics - PDS Woodland Smiles Dentistry and Orthodontics Dental Group-PDS ADDRESS ALAMEDA COUNTY SUTTER COUNTY 727 Colusa Avenue TULARE COUNTY 1213 W. Henderson Ave 365 Pearson Drive, Suite 2 1111 E. Tulare Ave 828 S. Mooney Blvd 1230 S. Mooney 4129 S Mooney Blvd Ste B 3206 N Duniba Blvd Ste F VENTURA COUNTY 2380 E. Las Posas Rd, Suites A&D 484 MOBIL AVE STE #33 4900 Verdugo Way Suite A 718 Los Angeles Avenue, Suite 3 501 South Reino Road, Suite G 1801 Solar Drive, Suite 290 712 N. Ventura Road., Suite A 300 S. A Street #102 455 South "C" St. 2731 S. Rose Avenue, Suite 101 2379 N. Oxnard Blvd 1350 W. Gonzales Road., 2nd Floor 2150 N. Rose Avenue 2650 Tapo Canyon Rd, Suite 107 4537 Alamo St, Ste A 2410 Sycamore Drive Suite A 1397 E. Los Angeles Ave, Ste F 1197 E. Los Angeles Ave, Suite E 1420 E. Los Angeles Ave Suite D 593 N Moorpark Rd, Ste B 415 East Rolling Oaks Drive, Suite 120 1760 E Avenida de los Arboles, Ste A 1459 Thousand Oaks Blvd. Bldg A 26 S. Garden Street Suite I & J 1001 Partridge Rd, Ste 210 2750 E. Main St. 6555 E. Telephone Road, Suite 8 4744 Telephone Road, Suite 4 4360 E Main St Ste C 23101 Sherman Place, Suite 417 6446 Platt Ave 860 Hampshire Road Suite E 5784 Lindero Canyon Road, Suite B YOLO COUNTY 4515 Fermi Place, Suite 106 2455 Jefferson Blvd, Ste 130 2041 Bronze Star Drive, Ste 100 4/2016 CITY ZIP PHONE YUBA CITY 95991-3943 (530) 751-0300 PORTERVILLE PORTERVILLE TULARE VISALIA VISALIA VISALIA VISALIA 93257-1454 93257-3360 93274-4561 93277-2212 93277-4436 93277-9147 93291-8729 (559) 306-3100 (559) 788-2532 (559) 688-3313 (559) 636-6000 (559) 624-0503 (559) 732-1953 (559) 334-2013 CAMARILLO CAMARILLO CAMARILLO MOORPARK NEWBURY PARK OXNARD OXNARD OXNARD OXNARD OXNARD OXNARD OXNARD OXNARD SIMI VALLEY SIMI VALLEY SIMI VALLEY SIMI VALLEY SIMI VALLEY SIMI VALLEY THOUSAND OAKS THOUSAND OAKS THOUSAND OAKS THOUSAND OAKS VENTURA VENTURA VENTURA VENTURA VENTURA VENTURA WEST HILLS WEST HILLS WESTLAKE VILLAGE WESTLAKE VILLAGE 93010-3456 93010-6361 93012-9998 93021-1756 91320-4276 93030-0155 93030-4405 93030-5886 93030-5917 93033-3964 93036-2000 93036-3365 93036-5058 93063-2308 93063-6528 93065-2358 93065-2866 93065-2868 93065-7807 91360-3732 91361-1037 91362-1392 91362-2806 93001-4524 93003-0716 93003-2875 93003-4460 93003-5258 93003-8279 91307-2017 91307-3216 91361-6032 91362-4088 (805) 388-9110 (805) 482-9568 (805) 484-7277 (805) 529-1743 (805) 499-4441 (805) 278-8887 (805) 988-4540 (805) 228-4440 (805) 483-9586 (805) 483-3658 (805) 278-9499 (805) 988-5888 (805) 604-0449 (805) 522-5516 (805) 520-1100 (805) 522-2600 (805) 577-9100 (805) 583-5700 (805) 581-1191 (805) 494-5255 (805) 449-9952 (805) 493-5200 (805) 494-1831 (805) 648-1090 (805) 644-9501 (805) 643-3556 (805) 642-2790 (805) 653-0620 (805) 644-6110 (818) 348-9595 (818) 716-7001 (805) 497-2260 (818) 706-0131 DAVIS WEST SACRAMENTO WOODLAND 95618-9406 (530) 750-1955 95691-5328 (916) 372-8062 95776-5428 (530) 662-7592 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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