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Organization
LA PAZ DENTISTRY
Active
Organization
LA PAZ DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WODISKE DDS (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
1223G0001X
General Practice Dentistry
Primary
31169
CA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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