| Opal Dental, Pc | |
|
85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 | |
| (949) 305-2449 | |
| Not Available |
| Full Name | Opal Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 Argonaut Ste 220, Aliso Viejo, California |
| Authorized Official Name and Position | Stephanie Greenlee (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 9493052449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Dental, Pc 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: (949) 305-2449 | Opal Dental, Pc 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: (949) 305-2449 |
| NPI Number | 1326599903 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326599903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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