| Nellie Gail Dental Group | |
|
26888 B South La Paz Road Aliso Viejo CA 92656 | |
| (946) 362-5600 | |
| Not Available |
| Full Name | Nellie Gail Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 26888 B South La Paz Road, Aliso Viejo, California |
| Authorized Official Name and Position | Cornel Crasnean (PRESIDENT) |
| Authorized Official Contact | 9493625600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nellie Gail Dental Group 26888 B South La Paz Road Aliso Viejo CA 92656 Ph: (946) 362-5600 | Nellie Gail Dental Group 26888 B South La Paz Road Aliso Viejo CA 92656 Ph: (946) 362-5600 |
| NPI Number | 1700200417 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700200417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57167 (California) | Primary |
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