| N/a | |
|
28052 Camino Capistrano Suite 212 Laguna Niguel CA 92677-1121 | |
| (949) 364-2671 | |
| (949) 364-2672 |
| Full Name | N/a |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28052 Camino Capistrano, Laguna Niguel, California |
| Authorized Official Name and Position | Ashraf Loutfi Soliman (PRESIDENT) |
| Authorized Official Contact | 9493642671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 28052 Camino Capistrano Suite 212 Laguna Niguel CA 92677-1121 Ph: (949) 364-2671 | N/a 28052 Camino Capistrano Suite 212 Laguna Niguel CA 92677-1121 Ph: (949) 364-2671 |
| NPI Number | 1730385048 |
|---|---|
| Provider Enumeration Date | 06/23/2007 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730385048 | NPI | - | NPPES |
| G91275-01 | Other | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37923 (California) | Primary |
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