Ladera Orthodontics | |
777 Corporate Dr Ste 210 Ladera Ranch CA 92694-2142 | |
(949) 272-8782 | |
Not Available |
Full Name | Ladera Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 777 Corporate Dr Ste 210, Ladera Ranch, California |
Authorized Official Name and Position | Robert Gire (OWNER) |
Authorized Official Contact | 9492728782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ladera Orthodontics 777 Corporate Dr Ste 210 Ladera Ranch CA 92694-2142 Ph: () - | Ladera Orthodontics 777 Corporate Dr Ste 210 Ladera Ranch CA 92694-2142 Ph: (949) 272-8782 |
NPI Number | 1639676554 |
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Provider Enumeration Date | 04/08/2018 |
Last Update Date | 04/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639676554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 47478 (California) | Primary |
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