| Balaze & Gregg Dentistry | |
|
30131 Town Center Dr Ste 250 Laguna Niguel CA 92677-2082 | |
| (949) 770-7686 | |
| Not Available |
| Full Name | Balaze & Gregg Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30131 Town Center Dr Ste 250, Laguna Niguel, California |
| Authorized Official Name and Position | Daniel Balaze (OWNER) |
| Authorized Official Contact | 9497707686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balaze & Gregg Dentistry 30131 Town Center Dr Ste 250 Laguna Niguel CA 92677-2082 Ph: (949) 770-7686 | Balaze & Gregg Dentistry 30131 Town Center Dr Ste 250 Laguna Niguel CA 92677-2082 Ph: (949) 770-7686 |
| NPI Number | 1013555317 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013555317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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