| |
25500 Rancho Niguel Rd # 230 Laguna Niguel CA 92677-7302 | |
(949) 643-6733 | |
(949) 643-6731 |
Full Name | |
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Speciality | Dentist |
Location | 25500 Rancho Niguel Rd, Laguna Niguel, California |
Authorized Official Name and Position | Todd C Snyder (CEO) |
Authorized Official Contact | 9496436733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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25500 Rancho Niguel Rd # 230 Laguna Niguel CA 92677-7302 Ph: (949) 643-6733 | 25500 Rancho Niguel Rd # 230 Laguna Niguel CA 92677-7302 Ph: (949) 643-6733 |
NPI Number | 1134260458 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 12/30/2014 |
Identifier | Type | State | Issuer |
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1134260458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 41870 (California) | Primary |
261QD0000X | Clinic/center - Dental | 41870 (California) | Secondary |
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 |