| El Paseo Dental Center | |
|
30212 Tomas Suite 165 Rancho Santa Margarita CA 92688-2172 | |
| (949) 766-0034 | |
| (949) 766-0035 |
| Full Name | El Paseo Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30212 Tomas, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Andrew Wonjoo Lee (PRESIDENT) |
| Authorized Official Contact | 9497660034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paseo Dental Center 30212 Tomas Suite 165 Rancho Santa Margarita CA 92688-2172 Ph: (949) 766-0034 | El Paseo Dental Center 30212 Tomas Suite 165 Rancho Santa Margarita CA 92688-2172 Ph: (949) 766-0034 |
| NPI Number | 1366710261 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366710261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49134 (California) | Primary |
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