| Premier Pediatric Dentistry Inc | |
|
24541 Pacific Park Dr Ste 240 Aliso Viejo CA 92656-3050 | |
| (949) 880-6683 | |
| Not Available |
| Full Name | Premier Pediatric Dentistry Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 24541 Pacific Park Dr Ste 240, Aliso Viejo, California |
| Authorized Official Name and Position | Daggiana L Corgnell (OFFICE MANAGER) |
| Authorized Official Contact | 9498806683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Pediatric Dentistry Inc 24541 Pacific Park Dr Ste 240 Aliso Viejo CA 92656-3050 Ph: (949) 880-6683 | Premier Pediatric Dentistry Inc 24541 Pacific Park Dr Ste 240 Aliso Viejo CA 92656-3050 Ph: (949) 880-6683 |
| NPI Number | 1033932363 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033932363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Tony Beizaee Dmd Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6b Liberty St, Suite #155, Aliso Viejo, CA 92656 Phone: 949-362-3848 Fax: 949-362-7540 | |
Richard Foushee Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6b Liberty, Suite 235, Aliso Viejo, CA 92656 Phone: 949-448-0400 Fax: 949-448-0488 | |
Calvin K. Yang, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6b Liberty Ste 120, Aliso Viejo, CA 92656 Phone: 949-215-4400 Fax: 949-215-4402 | |
Ernestina Avalos-figueroa Dds. Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu, Suite 360, Aliso Viejo, CA 92656 Phone: 949-831-5511 Fax: 949-831-6624 | |
Reza M. Birjandi D.d.s.,a Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu Suite 360, Aliso Viejo, CA 92656 Phone: 949-360-9700 Fax: 949-362-5182 | |
Berkdar Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu Ste 280, Aliso Viejo, CA 92656 Phone: 949-487-9220 |