Avalon Dentistry | |
27725 Sta. Margarita Parkway Ste 270 Mission Viiejo CA 92691-6708 | |
(949) 951-0951 | |
(949) 951-0962 |
Full Name | Avalon Dentistry |
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Speciality | Clinic/center - Dental |
Location | 27725 Sta. Margarita Parkway, Mission Viiejo, California |
Authorized Official Name and Position | Shellaine Alonsagay- Del Campo (PRESIDENT) |
Authorized Official Contact | 9499510951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avalon Dentistry 27725 Sta. Margarita Parkway Ste 270 Mission Viiejo CA 92691-6708 Ph: (949) 951-0951 | Avalon Dentistry 27725 Sta. Margarita Parkway Ste 270 Mission Viiejo CA 92691-6708 Ph: (949) 951-0951 |
NPI Number | 1245477363 |
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Provider Enumeration Date | 01/12/2009 |
Last Update Date | 01/12/2009 |
Identifier | Type | State | Issuer |
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1245477363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 45850 (California) | Primary |