| Racho Niguel Dental Group | |
|
30140 Town Center Drive Laguna Niguel CA 92677 | |
| (949) 249-4180 | |
| (949) 249-4185 |
| Full Name | Racho Niguel Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 30140 Town Center Drive, Laguna Niguel, California |
| Authorized Official Name and Position | Gina Rene Martin (OFFICE MANAGER) |
| Authorized Official Contact | 9492494180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Racho Niguel Dental Group 828 Emerald Bay Laguna Beach CA 92651 Ph: (949) 249-4180 | Racho Niguel Dental Group 30140 Town Center Drive Laguna Niguel CA 92677 Ph: (949) 249-4180 |
| NPI Number | 1396822029 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396822029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37868 (California) | Primary |
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