Santa Margarita Pediatric Dentistry | |
29941 Aventura Ste C Rancho Santa Margarita CA 92688-2015 | |
(949) 858-5150 | |
Not Available |
Full Name | Santa Margarita Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 29941 Aventura Ste C, Rancho Santa Margarita, California |
Authorized Official Name and Position | Jeanne Thi Nguyen (PRESIDENT/OWNER) |
Authorized Official Contact | 9498585150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Santa Margarita Pediatric Dentistry 29941 Aventura Ste C Rancho Santa Margarita CA 92688-2015 Ph: (949) 858-5150 | Santa Margarita Pediatric Dentistry 29941 Aventura Ste C Rancho Santa Margarita CA 92688-2015 Ph: (949) 858-5150 |
NPI Number | 1083006266 |
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Provider Enumeration Date | 02/25/2015 |
Last Update Date | 02/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083006266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 59162 (California) | Primary |
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Katayoun Massoudi, Dds Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30092 Santa Margarita Pkwy, Ste. K, Rancho Santa Margarita, CA 92688 Phone: 949-888-0086 Fax: 949-888-0095 | |
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Periodontics, Oral And Facial Surgical Specialties Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29829 Santa Margarita Pkwy Ste 300, Rancho Santa Margarita, CA 92688 Phone: 949-888-0332 Fax: 949-888-0400 |