# PACKER ENDODONTICS

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

## Provider details

- **NPI number:** 1841639077
- **Authorized official:** DR. JOSEPH L PACKER DMD, MSD (OWNER)
- **Authorized official phone:** (949) 572-4078

## Contact information

- **Practice address:** 26671 ALISO CREEK RD STE 300, ALISO VIEJO, CA 92656-4810
- **Practice address phone:** (949) 572-4078
- **Practice address fax:** (708) 443-8410
- **Mailing address:** 26671 ALISO CREEK RD STE 300, ALISO VIEJO, CA 92656-4810
- **Mailing address phone:** (949) 572-4078
- **Mailing address fax:** (708) 443-8410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 58887 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013