| Laguna Beach Dental Excellence | |
|
330 Park Ave Ste 10 Laguna Beach CA 92651-2352 | |
| (443) 896-6203 | |
| Not Available |
| Full Name | Laguna Beach Dental Excellence |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 330 Park Ave Ste 10, Laguna Beach, California |
| Authorized Official Name and Position | Haleh Fazeli (PARTNER/OWNER) |
| Authorized Official Contact | 4438966203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Beach Dental Excellence 330 Park Ave Ste 10 Laguna Beach CA 92651-2352 Ph: (443) 896-6203 | Laguna Beach Dental Excellence 330 Park Ave Ste 10 Laguna Beach CA 92651-2352 Ph: (443) 896-6203 |
| NPI Number | 1124776604 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124776604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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