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23961 Calle De La Magdalena Laguna Hills CA 92653-3616 | |
(602) 743-6667 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 23961 Calle De La Magdalena, Laguna Hills, California |
Authorized Official Name and Position | Kristin A Soraya (PRESIDENT/ OWNER) |
Authorized Official Contact | 6027436667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2355 Watermarke Pl Irvine CA 92612-7695 Ph: (602) 743-6667 | 23961 Calle De La Magdalena Laguna Hills CA 92653-3616 Ph: (602) 743-6667 |
NPI Number | 1518344647 |
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Provider Enumeration Date | 04/27/2015 |
Last Update Date | 11/02/2015 |
Identifier | Type | State | Issuer |
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1518344647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 40986 (California) | Primary |
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