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 |
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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 |
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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 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 02/17/2015 |
Identifier | Type | State | Issuer |
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1093800039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 41012 (California) | Primary |
Balaze & Gregg Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 250, Laguna Niguel, CA 92677 Phone: 949-770-7686 | |