Michael J. Gahagan, D.d.s., A Professional Corporation | |
1441 Avocado Ave Suite 605 Newport Beach CA 92660-7721 | |
(949) 640-6683 | |
(949) 640-0492 |
Full Name | Michael J. Gahagan, D.d.s., A Professional Corporation |
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Speciality | Dentist - Periodontics |
Location | 1441 Avocado Ave, Newport Beach, California |
Authorized Official Name and Position | Michael Gahagan (DENTIST) |
Authorized Official Contact | 9496406683 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael J. Gahagan, D.d.s., A Professional Corporation 1441 Avocado Ave Suite 605 Newport Beach CA 92660-7721 Ph: (949) 640-6683 | Michael J. Gahagan, D.d.s., A Professional Corporation 1441 Avocado Ave Suite 605 Newport Beach CA 92660-7721 Ph: (949) 640-6683 |
NPI Number | 1790995660 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790995660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 26400 (California) | Primary |
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