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Organization
MK SG DENTAL CORP
Active
Organization
MK SG DENTAL CORP
Active
Other names
Orange County Dental Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM GILANI DMD (CO-OWNER)
(949) 789-8989
Entity
Organization
Contact information
Practice address
15825 LAGUNA CANYON RD, 206, IRVINE, CA 92618-2125
(949) 789-8989
(949) 453-0970
Mailing address
18525 LAGUNA CANYON ROAD #206, IRVINE, CA 92618
(949) 789-8989
(949) 453-0970
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
CA
1223P0221X
Pediatric Dentistry
—
CA
1223P0300X
Periodontics
—
CA
1223P0700X
Prosthodontics
Primary
—
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
CA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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