Laguna Beach Dental Excellence | |
330 Park Ave Ste 10 Laguna Beach CA 92651-2352 | |
(443) 896-6203 | |
Not Available |
Full Name | Laguna Beach Dental Excellence |
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Speciality | Clinic/center - Dental |
Location | 330 Park Ave Ste 10, Laguna Beach, California |
Authorized Official Name and Position | Haleh Fazeli (PARTNER/OWNER) |
Authorized Official Contact | 4438966203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laguna Beach Dental Excellence 330 Park Ave Ste 10 Laguna Beach CA 92651-2352 Ph: (443) 896-6203 | Laguna Beach Dental Excellence 330 Park Ave Ste 10 Laguna Beach CA 92651-2352 Ph: (443) 896-6203 |
NPI Number | 1124776604 |
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Provider Enumeration Date | 03/14/2022 |
Last Update Date | 03/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124776604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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