| Guy W Mendivil Dds Inc | |
|
27725 Santa Margarita Pkwy Suite 241 Mission Viejo CA 92691-6704 | |
| (949) 859-1318 | |
| Not Available |
| Full Name | Guy W Mendivil Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 27725 Santa Margarita Pkwy, Mission Viejo, California |
| Authorized Official Name and Position | Guy W Mendivil (OWNER) |
| Authorized Official Contact | 9498590116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guy W Mendivil Dds Inc 27725 Santa Margarita Pkwy Suite 241 Mission Viejo CA 92691-6704 Ph: (949) 859-1318 | Guy W Mendivil Dds Inc 27725 Santa Margarita Pkwy Suite 241 Mission Viejo CA 92691-6704 Ph: (949) 859-1318 |
| NPI Number | 1154468965 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154468965 | NPI | - | NPPES |
| G93019-01 | Other | CA | DENTI-CAL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D29737 (California) | Primary |
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