# MK SG DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange County Dental Specialist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164698379
- **Authorized official:** MR. SAM GILANI DMD (CO-OWNER)
- **Authorized official phone:** (949) 789-8989

## Contact information

- **Practice address:** 15825 LAGUNA CANYON RD, 206, IRVINE, CA 92618-2125
- **Practice address phone:** (949) 789-8989
- **Practice address fax:** (949) 453-0970
- **Mailing address:** 18525 LAGUNA CANYON ROAD \#206, IRVINE, CA 92618
- **Mailing address phone:** (949) 789-8989
- **Mailing address fax:** (949) 453-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | CA | — |
| 1223P0221X | Pediatric Dentistry | — | CA | — |
| 1223P0300X | Periodontics | — | CA | — |
| 1223P0700X | Prosthodontics | — | CA | Yes |
| 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