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Organization
VIGLIAROLO, D.D.S. DENTAL CORP
Active
Organization
VIGLIAROLO, D.D.S. DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS VIGLIAROLO (OWNER)
(949) 429-3944
Entity
Organization
Contact information
Practice address
600 CORPORATE DR #220, LADERA RANCH, CA 92694
(949) 429-3944
Mailing address
600 CORPORATE DR #220, LADERA RANCH, CA 92694
(949) 429-3944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59228
CA
Other
Enumeration date
08/27/2015
Last updated
04/11/2016
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