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Organization
MISSION VIEJO DENTAL GROUP
Active
Organization
MISSION VIEJO DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE TONG DDS (DENTIST)
(949) 859-8599
Entity
Organization
Contact information
Practice address
26730 TOWNE CENTRE DR STE 101, FOOTHILL RANCH, CA 92610-2857
(949) 859-8599
(949) 859-1333
Mailing address
26730 TOWNE CENTRE DR STE 101, FOOTHILL RANCH, CA 92610-2857
(949) 859-8599
(949) 859-1333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33186
CA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659580736
NPI
CA
01
—
1689192072
NPI
CA
Enumeration date
04/25/2007
Last updated
03/25/2023
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