| Marina Dental | |
|
23591 El Toro Rd Suite #130 Lake Forest CA 92630-4774 | |
| (949) 597-8808 | |
| (949) 597-8911 |
| Full Name | Marina Dental |
|---|---|
| Speciality | Dentist |
| Location | 23591 El Toro Rd, Lake Forest, California |
| Authorized Official Name and Position | Amani M Soliman (OWNER) |
| Authorized Official Contact | 9495978808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Dental 23591 El Toro Rd Suite #130 Lake Forest CA 92630-4774 Ph: (949) 597-8808 | Marina Dental 23591 El Toro Rd Suite #130 Lake Forest CA 92630-4774 Ph: (949) 597-8808 |
| NPI Number | 1558684506 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558684506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40018 (California) | Primary |
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