| Epic Family Dental | |
|
1171 Puerta Del Sol Ste C San Clemente CA 92673-6343 | |
| (949) 492-3407 | |
| (949) 492-1485 |
| Full Name | Epic Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1171 Puerta Del Sol Ste C, San Clemente, California |
| Authorized Official Name and Position | James Edward Sorge (PRESIDENT) |
| Authorized Official Contact | 9494923407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Family Dental 1171 Puerta Del Sol Ste C San Clemente CA 92673-6343 Ph: (949) 492-3407 | Epic Family Dental 1171 Puerta Del Sol Ste C San Clemente CA 92673-6343 Ph: (949) 492-3407 |
| NPI Number | 1215434451 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215434451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45325 (California) | Primary |
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