| Kalmanovich Dental Corp | |
|
380 Glenneyre St Ste E Laguna Beach CA 92651-2303 | |
| (949) 494-7522 | |
| (949) 464-0965 |
| Full Name | Kalmanovich Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 380 Glenneyre St Ste E, Laguna Beach, California |
| Authorized Official Name and Position | Alexander Kalmanovich (OWNER) |
| Authorized Official Contact | 9494947522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalmanovich Dental Corp 380 Glenneyre St Ste E Laguna Beach CA 92651-2303 Ph: (949) 494-7522 | Kalmanovich Dental Corp 380 Glenneyre St Ste E Laguna Beach CA 92651-2303 Ph: (949) 494-7522 |
| NPI Number | 1841950573 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841950573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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