| Mission Viejo Dental Associates | |
|
25522 Marguerite Parkway #100 Mission Viejo CA 92692 | |
| (949) 586-6200 | |
| (949) 586-2791 |
| Full Name | Mission Viejo Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25522 Marguerite Parkway, Mission Viejo, California |
| Authorized Official Name and Position | Robert W Stalcup (OWNER) |
| Authorized Official Contact | 9495866200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Viejo Dental Associates 25522 Marguerite Pkwy #100 Mission Viejo CA 92692 Ph: (949) 586-6200 | Mission Viejo Dental Associates 25522 Marguerite Parkway #100 Mission Viejo CA 92692 Ph: (949) 586-6200 |
| NPI Number | 1063670768 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063670768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20049 (California) | Primary |
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