Mission Viejo Dental | |
23482 Alicia Pkwy Mission Viejo CA 92691-2601 | |
(949) 581-0090 | |
Not Available |
Full Name | Mission Viejo Dental |
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Speciality | Dentist - General Practice |
Location | 23482 Alicia Pkwy, Mission Viejo, California |
Authorized Official Name and Position | Dennis R Fratt (OWNER) |
Authorized Official Contact | 7144281200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mission Viejo Dental 23482 Alicia Pkwy Mission Viejo CA 92691-2601 Ph: (949) 581-0090 | Mission Viejo Dental 23482 Alicia Pkwy Mission Viejo CA 92691-2601 Ph: (949) 581-0090 |
NPI Number | 1881803369 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1881803369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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