| Laguna Surgical & Cosmetic Specialist | |
|
25982 Pala Ste 120 Mission Viejo CA 92691-6724 | |
| (949) 347-9990 | |
| (949) 347-9990 |
| Full Name | Laguna Surgical & Cosmetic Specialist |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 25982 Pala Ste 120, Mission Viejo, California |
| Authorized Official Name and Position | Arthur Johnson (PRACTICE OWNER) |
| Authorized Official Contact | 9493479990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Surgical & Cosmetic Specialist 28202 Cabot Rd Suite 420 Laguna Niguel CA 92677-1222 Ph: (949) 347-9990 | Laguna Surgical & Cosmetic Specialist 25982 Pala Ste 120 Mission Viejo CA 92691-6724 Ph: (949) 347-9990 |
| NPI Number | 1346665726 |
|---|---|
| Provider Enumeration Date | 02/21/2014 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346665726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OMS36 (California) | Primary |
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