# ALISO WOODS DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811098213
- **Authorized official:** MRS. CARLY GAIL BRUNDAGE (OFFICE MANAGER)
- **Authorized official phone:** (949) 360-1213

## Contact information

- **Practice address:** 27792 ALISO CREEK RD, B-170, ALISO VIEJO, CA 92656-3833
- **Practice address phone:** (949) 360-1213
- **Practice address fax:** (949) 360-7266
- **Mailing address:** 27792 ALISO CREEK RD, B-170, ALISO VIEJO, CA 92656-3833
- **Mailing address phone:** (949) 360-1213
- **Mailing address fax:** (949) 360-7266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020