| Roger S. Cullen Dental Corp. | |
|
25270 Marguerite Pkwy Ste C Mission Viejo CA 92692-2910 | |
| (949) 586-8530 | |
| (949) 951-1407 |
| Full Name | Roger S. Cullen Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 25270 Marguerite Pkwy Ste C, Mission Viejo, California |
| Authorized Official Name and Position | Roger S. Cullen (PRESIDENT) |
| Authorized Official Contact | 9495868530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger S. Cullen Dental Corp. 25270 Marguerite Pkwy Ste C Mission Viejo CA 92692-2910 Ph: (949) 586-8530 | Roger S. Cullen Dental Corp. 25270 Marguerite Pkwy Ste C Mission Viejo CA 92692-2910 Ph: (949) 586-8530 |
| NPI Number | 1386859528 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386859528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24220 (California) | Primary |
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