| Nellie Gail Orthodontics | |
|
6 B Liberty Suite 220 Aliso Viejo CA 92656-5835 | |
| (949) 362-9971 | |
| (949) 362-9886 |
| Full Name | Nellie Gail Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6 B Liberty, Aliso Viejo, California |
| Authorized Official Name and Position | Richard Lloyd Botzbach (OWNER, PRESIDENT) |
| Authorized Official Contact | 9493629971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nellie Gail Orthodontics 6 B Liberty Suite 220 Aliso Viejo CA 92656-5835 Ph: (949) 362-9971 | Nellie Gail Orthodontics 6 B Liberty Suite 220 Aliso Viejo CA 92656-5835 Ph: (949) 362-9971 |
| NPI Number | 1467775122 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467775122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 39235 (California) | Primary |
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