| South Coast Dental Specialties | |
|
30140 Town Center Drive Suite B Laguna Niguel CA 92677 | |
| (949) 363-2540 | |
| (949) 363-3352 |
| Full Name | South Coast Dental Specialties |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30140 Town Center Drive, Laguna Niguel, California |
| Authorized Official Name and Position | Mary Lynn Stay (OFFICE MANAGER) |
| Authorized Official Contact | 9493632540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Dental Specialties 30190 Town Center Drive Suite B Laguna Niguel CA 92677 Ph: (949) 363-2540 | South Coast Dental Specialties 30140 Town Center Drive Suite B Laguna Niguel CA 92677 Ph: (949) 363-2540 |
| NPI Number | 1376766006 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376766006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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