| Allen Ontiveros Dds A Professional Corporation | |
|
24953 Paseo De Valencia Ste 11c Laguna Hills CA 92653-4344 | |
| (949) 643-2803 | |
| Not Available |
| Full Name | Allen Ontiveros Dds A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24953 Paseo De Valencia Ste 11c, Laguna Hills, California |
| Authorized Official Name and Position | Arthur Allen Ontiveros (OWNER/DENTIST) |
| Authorized Official Contact | 9496432803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Ontiveros Dds A Professional Corporation 24953 Paseo De Valencia Ste 11c Laguna Hills CA 92653-4344 Ph: (949) 643-2803 | Allen Ontiveros Dds A Professional Corporation 24953 Paseo De Valencia Ste 11c Laguna Hills CA 92653-4344 Ph: (949) 643-2803 |
| NPI Number | 1437641818 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437641818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32751 (California) | Primary |
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