| La Paz Dentistry | |
|
25200 La Paz Rd Suite 109 Laguna Hills CA 92653-5110 | |
| (949) 855-9525 | |
| (949) 707-3933 |
| Full Name | La Paz Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 25200 La Paz Rd, Laguna Hills, California |
| Authorized Official Name and Position | Richard Wendell Wodiske (OWNER) |
| Authorized Official Contact | 9498559525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz Dentistry 25200 La Paz Rd Suite 109 Laguna Hills CA 92653-5110 Ph: (949) 855-9525 | La Paz Dentistry 25200 La Paz Rd Suite 109 Laguna Hills CA 92653-5110 Ph: (949) 855-9525 |
| NPI Number | 1427325794 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427325794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31169 (California) | Primary |
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