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23731 El Toro Rd Ste D Lake Forest CA 92630-8615 | |
| (949) 787-1733 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23731 El Toro Rd Ste D, Lake Forest, California |
| Authorized Official Name and Position | Steven Wolfram (OWNER) |
| Authorized Official Contact | 9095288158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23731 El Toro Rd Ste D Lake Forest CA 92630-8615 Ph: (949) 787-1733 | 23731 El Toro Rd Ste D Lake Forest CA 92630-8615 Ph: (949) 787-1733 |
| NPI Number | 1366253007 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366253007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Kathy Maasoumi D.d.s Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22706 Aspan St, Suite 602, Lake Forest, CA 92630 Phone: 949-716-7000 Fax: 949-716-0600 | |
Sean Sanhoon Kim Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23772 Mercury Rd, Lake Forest, CA 92630 Phone: 949-340-0266 | |
Liu Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23731 El Toro Rd Ste E, Lake Forest, CA 92630 Phone: 949-910-3551 | |
Dr Afzalis Lake Forest Lifetime Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23731 El Toro Rd Ste D, Lake Forest, CA 92630 Phone: 949-581-8108 | |
Jeanette Huong Thai, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24432 Muirlands Blvd Ste 201, Lake Forest, CA 92630 Phone: 949-837-8482 Fax: 949-837-9858 | |
Mozhgan Molkara Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21991 El Toro Rd Ste 6, Lake Forest, CA 92630 Phone: 949-380-7788 Fax: 949-380-8812 |