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27462 Calle Arroyo Suite B San Juan Capistrano CA 92675 | |
| (949) 443-9533 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 27462 Calle Arroyo, San Juan Capistrano, California |
| Authorized Official Name and Position | Anita Kumari Tomkoria (ENDODONTIST) |
| Authorized Official Contact | 9494439533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
27462 Calle Arroyo Suite B San Juan Capistrano CA 92675 Ph: (949) 443-9533 | 27462 Calle Arroyo Suite B San Juan Capistrano CA 92675 Ph: (949) 443-9533 |
| NPI Number | 1770980856 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770980856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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