Harvard Dental Group | |
31105 Rancho Viejo Rd Ste C2 San Juan Capistrano CA 92675-1717 | |
(949) 218-3607 | |
Not Available |
Full Name | Harvard Dental Group |
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Speciality | Clinic/center - Dental |
Location | 31105 Rancho Viejo Rd Ste C2, San Juan Capistrano, California |
Authorized Official Name and Position | Katalin C Janosi Fair (CEO) |
Authorized Official Contact | 9492183607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Harvard Dental Group 31105 Rancho Viejo Rd Ste C2 San Juan Capistrano CA 92675-1717 Ph: (949) 218-3607 | Harvard Dental Group 31105 Rancho Viejo Rd Ste C2 San Juan Capistrano CA 92675-1717 Ph: (949) 218-3607 |
NPI Number | 1780192815 |
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Provider Enumeration Date | 01/10/2018 |
Last Update Date | 04/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780192815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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