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Organization
OPAL DENTAL, PC
Active
Organization
OPAL DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GREENLEE (CREDENTIALING DIRECTOR)
(949) 305-2449
Entity
Organization
Contact information
Practice address
85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
(949) 305-2449
Mailing address
85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
(949) 305-2449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/20/2016
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