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Organization
AL MANESH DMD INC
Active
Organization
AL MANESH DMD INC
Active
Other names
Mission Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AL SHYSTE MANESH D.M.D. (OWNER)
(949) 364-2935
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
(949) 600-7123
(949) 364-2870
Mailing address
26800 CROWN VALLEY PKWY, SUITE 425, MISSION VIEJO, CA 92691-6384
(949) 364-2935
(949) 364-2870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
48376
CA
1223P0300X
Periodontics
Primary
48376
CA
Other
Enumeration date
07/16/2008
Last updated
11/24/2020
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