Nellie Gail Orthodontics | |
6 B Liberty Suite 220 Aliso Viejo CA 92656-5835 | |
(949) 362-9971 | |
(949) 362-9886 |
Full Name | Nellie Gail Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 6 B Liberty, Aliso Viejo, California |
Authorized Official Name and Position | Richard Lloyd Botzbach (OWNER, PRESIDENT) |
Authorized Official Contact | 9493629971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nellie Gail Orthodontics 6 B Liberty Suite 220 Aliso Viejo CA 92656-5835 Ph: (949) 362-9971 | Nellie Gail Orthodontics 6 B Liberty Suite 220 Aliso Viejo CA 92656-5835 Ph: (949) 362-9971 |
NPI Number | 1467775122 |
---|---|
Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467775122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 39235 (California) | Primary |
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