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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› Verified 2 days ago
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