| |
25500 Rancho Niguel Rd Ste 210 Laguna Niguel CA 92677-7373 | |
(949) 215-0112 | |
(949) 215-0113 |
Full Name | |
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Speciality | Dentist |
Location | 25500 Rancho Niguel Rd Ste 210, Laguna Niguel, California |
Authorized Official Name and Position | Damian L Newhart (DDS) |
Authorized Official Contact | 9492150112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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25500 Rancho Niguel Road #210 Laguna Niguel CA 92677 Ph: (949) 215-0112 | 25500 Rancho Niguel Rd Ste 210 Laguna Niguel CA 92677-7373 Ph: (949) 215-0112 |
NPI Number | 1154659969 |
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Provider Enumeration Date | 12/07/2009 |
Last Update Date | 12/07/2009 |
Identifier | Type | State | Issuer |
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1154659969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 47763 (California) | Primary |
Balaze & Gregg Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 250, Laguna Niguel, CA 92677 Phone: 949-770-7686 | |
Glenn P. Frial, Dds, Ms, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28202 Cabot Rd, Suite 250, Laguna Niguel, CA 92677 Phone: 949-276-2105 Fax: 949-276-2109 |