Dana Point Smiles | |
24655 La Plz Suite E Dana Point CA 92629-2583 | |
(949) 496-5713 | |
Not Available |
Full Name | Dana Point Smiles |
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Speciality | Dentist - General Practice |
Location | 24655 La Plz, Dana Point, California |
Authorized Official Name and Position | Kimberly A Evans (OFFICE MANAGER) |
Authorized Official Contact | 9494965713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dana Point Smiles 24655 La Plz Suite E Dana Point CA 92629-2583 Ph: (949) 496-5713 | Dana Point Smiles 24655 La Plz Suite E Dana Point CA 92629-2583 Ph: (949) 496-5713 |
NPI Number | 1912306721 |
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Provider Enumeration Date | 08/18/2014 |
Last Update Date | 08/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912306721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 29647 (California) | Primary |
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