| Rancho Dental Studio | |
|
28261 Marguerite Pkwy Ste 150 Mission Viejo CA 92692-3703 | |
| (949) 682-7378 | |
| Not Available |
| Full Name | Rancho Dental Studio |
|---|---|
| Speciality | Dentist |
| Location | 28261 Marguerite Pkwy Ste 150, Mission Viejo, California |
| Authorized Official Name and Position | Jeffrey Valdez Flores (PRESIDENT) |
| Authorized Official Contact | 9496827378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Dental Studio 65 Adelfa St Rancho Mission Viejo CA 92694-1284 Ph: (858) 733-2279 | Rancho Dental Studio 28261 Marguerite Pkwy Ste 150 Mission Viejo CA 92692-3703 Ph: (949) 682-7378 |
| NPI Number | 1972018299 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972018299 | NPI | - | NPPES |
| 1801026919 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58512 (California) | Primary |
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