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29861 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita CA 92688-3609 | |
| (949) 709-1900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 29861 Santa Margarita Pkwy, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Jeffrey C Barrera (OWNER) |
| Authorized Official Contact | 9497091900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
29861 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita CA 92688-3609 Ph: (949) 709-1900 | 29861 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita CA 92688-3609 Ph: (949) 709-1900 |
| NPI Number | 1770609877 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770609877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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