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23876 Aliso Creek Rd Laguna Niguel CA 92677-3907 | |
| (949) 831-4346 | |
| (949) 362-0096 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23876 Aliso Creek Rd, Laguna Niguel, California |
| Authorized Official Name and Position | Benjamin R. Blair (CEO) |
| Authorized Official Contact | 9498314346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23876 Aliso Creek Rd Laguna Niguel CA 92677-3907 Ph: (949) 831-4346 | 23876 Aliso Creek Rd Laguna Niguel CA 92677-3907 Ph: (949) 831-4346 |
| NPI Number | 1083940944 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083940944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21727 (California) | Primary |
Balaze & Gregg Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 250, Laguna Niguel, CA 92677 Phone: 949-770-7686 | |
Glenn P. Frial, Dds, Ms, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28202 Cabot Rd, Suite 250, Laguna Niguel, CA 92677 Phone: 949-276-2105 Fax: 949-276-2109 |