| Hnc Orthodontic Group | |
|
26302 La Paz Rd Ste 202 Mission Viejo CA 92691-5328 | |
| (949) 830-4101 | |
| Not Available |
| Full Name | Hnc Orthodontic Group |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 26302 La Paz Rd Ste 202, Mission Viejo, California |
| Authorized Official Name and Position | Shannon Nissen (OWNER) |
| Authorized Official Contact | 9498304101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hnc Orthodontic Group 26302 La Paz Rd Ste 202 Mission Viejo CA 92691-5328 Ph: () - | Hnc Orthodontic Group 26302 La Paz Rd Ste 202 Mission Viejo CA 92691-5328 Ph: (949) 830-4101 |
| NPI Number | 1497059166 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 01/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497059166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 56349 (California) | Primary |
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