# PARAJON DENTAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275091134
- **Authorized official:** CARLOS JOSE PARAJON DDS (OWNER)
- **Authorized official phone:** (949) 216-9090

## Contact information

- **Practice address:** 30486 AVENIDA DE LAS BANDERAS STE A, RANCHO SANTA MARGARITA, CA 92688-3948
- **Practice address phone:** (949) 216-9090
- **Practice address fax:** (949) 713-9471
- **Mailing address:** 30486 AVENIDA DE LAS BANDERAS STE A, RANCHO SANTA MARGARITA, CA 92688-3948
- **Mailing address phone:** (949) 216-9090
- **Mailing address fax:** (949) 713-9471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 05/23/2019