| Cummings, Balasanian, Caputo & Nicholls Dental Group, Inc. | |
|
26302 La Paz Rd Suite 102 Mission Viejo CA 92691-5313 | |
| (949) 596-7000 | |
| (949) 586-0158 |
| Full Name | Cummings, Balasanian, Caputo & Nicholls Dental Group, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 26302 La Paz Rd, Mission Viejo, California |
| Authorized Official Name and Position | David Raymond Cummings (OWNER) |
| Authorized Official Contact | 9497601600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cummings, Balasanian, Caputo & Nicholls Dental Group, Inc. 26302 La Paz Rd Suite 102 Mission Viejo CA 92691-5313 Ph: (949) 596-7000 | Cummings, Balasanian, Caputo & Nicholls Dental Group, Inc. 26302 La Paz Rd Suite 102 Mission Viejo CA 92691-5313 Ph: (949) 596-7000 |
| NPI Number | 1700962347 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700962347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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