| Mission Viejo Dental Asociates | |
|
25522 Marguerite Parkway Suite #100 Mission Viejo CA 92692 | |
| (949) 586-6200 | |
| (949) 586-2791 |
| Full Name | Mission Viejo Dental Asociates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25522 Marguerite Parkway, Mission Viejo, California |
| Authorized Official Name and Position | Elisa Kiely (OFFICE ADMISTRATOR) |
| Authorized Official Contact | 9495866200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Viejo Dental Asociates 25522 Marguerite Pkwy Ste #100 Mission Viejo CA 92692 Ph: (949) 586-6200 | Mission Viejo Dental Asociates 25522 Marguerite Parkway Suite #100 Mission Viejo CA 92692 Ph: (949) 586-6200 |
| NPI Number | 1093975146 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093975146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21292 (California) | Primary |
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Mission Viejo Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 Phone: 949-586-6200 Fax: 949-586-2791 | |
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