| Glenn P. Frial, Dds, Ms, A Professional Corporation | |
|
28202 Cabot Rd Suite 250 Laguna Niguel CA 92677-1250 | |
| (949) 276-2105 | |
| (949) 276-2109 |
| Full Name | Glenn P. Frial, Dds, Ms, A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 28202 Cabot Rd, Laguna Niguel, California |
| Authorized Official Name and Position | Glenn P. Frial (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 9492762105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn P. Frial, Dds, Ms, A Professional Corporation 28202 Cabot Rd Suite 250 Laguna Niguel CA 92677-1250 Ph: () - | Glenn P. Frial, Dds, Ms, A Professional Corporation 28202 Cabot Rd Suite 250 Laguna Niguel CA 92677-1250 Ph: (949) 276-2105 |
| NPI Number | 1093800039 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093800039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 41012 (California) | Primary |
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