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Organization
LAGUNA BEACH DENTAL EXCELLENCE
Active
Organization
LAGUNA BEACH DENTAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEH FAZELI DDS (PARTNER/OWNER)
(443) 896-6203
Entity
Organization
Contact information
Practice address
330 PARK AVE STE 10, LAGUNA BEACH, CA 92651-2352
(443) 896-6203
Mailing address
330 PARK AVE STE 10, LAGUNA BEACH, CA 92651-2352
(443) 896-6203
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/17/2022
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