Ghibu Dental Corporation | |
32391 Camino Capistrano San Juan Capistrano CA 92675-4519 | |
(949) 404-5619 | |
Not Available |
Full Name | Ghibu Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 32391 Camino Capistrano, San Juan Capistrano, California |
Authorized Official Name and Position | Tina Ghibu (OWNER) |
Authorized Official Contact | 7148458500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ghibu Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: () - | Ghibu Dental Corporation 32391 Camino Capistrano San Juan Capistrano CA 92675-4519 Ph: (949) 404-5619 |
NPI Number | 1699514810 |
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Provider Enumeration Date | 05/20/2024 |
Last Update Date | 05/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699514810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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