| Oc Lifetime Dental Group | |
|
25500 Rancho Niguel Rd Ste 170 Laguna Niguel CA 92677-7373 | |
| (949) 215-5500 | |
| (949) 215-0113 |
| Full Name | Oc Lifetime Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25500 Rancho Niguel Rd Ste 170, Laguna Niguel, California |
| Authorized Official Name and Position | Aveed Samiee (OWNER/DENTIST) |
| Authorized Official Contact | 9492155500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Lifetime Dental Group 2 Satinbush Aliso Viejo CA 92656-1827 Ph: (909) 967-3754 | Oc Lifetime Dental Group 25500 Rancho Niguel Rd Ste 170 Laguna Niguel CA 92677-7373 Ph: (949) 215-5500 |
| NPI Number | 1083141048 |
|---|---|
| Provider Enumeration Date | 05/21/2017 |
| Last Update Date | 03/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083141048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60760 (California) | Primary |
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