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Organization · Dentist · San Clemente, CA

NPI
1871681197
Type
Organization (Type 2)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
23880 (CA)
Enumerated
2006-10-11
Last updated
2020-08-22
Practice location
657 Camino De Los Mares, # 132
San Clemente, CA 92673
(949) 496-1221

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