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25500 Rancho Niguel Rd Ste 200 Laguna Niguel CA 92677-7373 | |
| (949) 554-1563 | |
| (949) 554-1565 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25500 Rancho Niguel Rd Ste 200, Laguna Niguel, California |
| Authorized Official Name and Position | Christopher Thomas Auyong (DENTIST) |
| Authorized Official Contact | 9495541563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
25500 Rancho Niguel Rd Ste 200 Laguna Niguel CA 92677-7373 Ph: (949) 554-1563 | 25500 Rancho Niguel Rd Ste 200 Laguna Niguel CA 92677-7373 Ph: (949) 554-1563 |
| NPI Number | 1013408749 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013408749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 63831 (California) | Primary |
Balaze & Gregg Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 250, Laguna Niguel, CA 92677 Phone: 949-770-7686 | |
Glenn P. Frial, Dds, Ms, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28202 Cabot Rd, Suite 250, Laguna Niguel, CA 92677 Phone: 949-276-2105 Fax: 949-276-2109 |