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Organization
LA PAZ DENTISTRY
Active
Organization
LA PAZ DENTISTRY
Active
Other names
La Paz Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WENDELL WODISKE D.D.S. (OWNER)
(949) 855-9525
Entity
Organization
Contact information
Practice address
25200 LA PAZ RD, SUITE 109, LAGUNA HILLS, CA 92653-5110
(949) 855-9525
(949) 707-3933
Mailing address
25200 LA PAZ RD, SUITE 109, LAGUNA HILLS, CA 92653-5110
(949) 855-9525
(949) 707-3933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31169
CA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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